Healthcare Provider Details

I. General information

NPI: 1114703519
Provider Name (Legal Business Name): RACHEL KOCOL LMHP, CMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4565 S 133RD ST
OMAHA NE
68137-1142
US

IV. Provider business mailing address

11512 S 115TH ST
PAPILLION NE
68046-4520
US

V. Phone/Fax

Practice location:
  • Phone: 402-590-2947
  • Fax:
Mailing address:
  • Phone: 402-536-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12663
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: