Active NPI
Rachel Michelle Koepke, P.L.M.H.P.
- Mental Health Counselor
- York, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P8862
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47052851582 | Other | NE | MEDICAID |
| 47052851509 | Medicaid | NE |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P8862 | NE | MD | Mental Health Counselor |
| 1124 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Valley Behavioral Health Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Beatrice, NE
- NPI 1316019508
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.