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General NPI Number Information
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NPI Number | 1508721697
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Entity Type | Organization
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Legal Business Name | REACHING IVY
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1408 FORT CROOK RD S
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City | BELLEVUE
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State | NE
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Zip | 68005-3061
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Country | US
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Telephone | 402-242-3745
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Fax |
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Provider Business Mailing Address
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Address Line | 15340 DAVIDSON ST
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City | BENNINGTON
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State | NE
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Zip | 68007-5460
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Country | US
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Telephone | 402-242-3745
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MENTAL HEALTH
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Name | ROSE KERN
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Credential | LMHP, MAMT, MT-BC
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Telephone | 402-242-3745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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