Individual provider Active NPI

Evanjelina C Doescher, PLMHP,PCMSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1932854437
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12244 Issued in NE
Practice address
1941 S 42ND St Ste 402D
Omaha, NE 68105-2944
Phone
(402) 788-4846
Fax
(402) 702-0664
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7491 NE
Mental Health Counselor 101YM0800X 12244 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 402D
Omaha, NE 68105-2944

Mailing address

1941 S 42ND St Ste 402D
Omaha, NE 68105-2944
Phone (402) 788-4846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eva@r3cc.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002069 NE Practitioner - Mental Health Counselor 3870028343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7491NEMDDentist
12244NEMDPharmacist
2156NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Rebuild Reconnect Counseling Center CurrentSince Sep 14, 2024 Accepting new patients

Locations

1941 S 42nd St
Ste 506
Omaha, NE 68105
Phone (402) 788-4846

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1932854437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 402D",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052944",
            "telephone_number": "402-788-4846",
            "fax_number": "402-702-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 402D",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052944",
            "telephone_number": "402-788-4846",
            "fax_number": "402-702-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOESCHER",
        "first_name": "EVANJELINA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PLMHP,PCMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-04-08",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "7491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eva@r3cc.net",
            "affiliation": "N",
            "endpointDescription": "hushmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1941 S 42nd St Ste 402D",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681052944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.