Individual provider Active NPI

Rachel Michelle Koepke, P.L.M.H.P.

  • Mental Health Counselor
  • York, NE
National Provider Identifier
1972739670
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P8862 Issued in NE
Practice address
722 S Lincoln Ave
Suite 1
York, NE 68467-4242
Phone
(402) 362-6128
Fax
(402) 362-7012
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P8862 NE Primary

Addresses

Primary practice location

722 S Lincoln Ave
Suite 1
York, NE 68467-4242

Mailing address

722 S Lincoln Ave
Suite 1
York, NE 68467-4242
Phone (402) 362-6128

Other identifiers 2

IdentifierTypeStateIssuer
47052851582OtherNEMEDICAID
47052851509MedicaidNE

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
I20231119000129 NE Practitioner - Mental Health Counselor 0941658686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Valley Behavioral Health IncGroup PAC ID 3971403668, 32 clinicians

Practice addresses (Care Compare)

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P8862NEMDMental Health Counselor
1124NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

722 S Lincoln Ave
Ste 1
York, NE 68467
Phone (402) 362-6128

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1972739670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684674242",
            "telephone_number": "402-362-6128",
            "fax_number": "402-362-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684674242",
            "telephone_number": "402-362-6128",
            "fax_number": "402-362-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "P.L.M.H.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "P8862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "47052851582",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851509",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.