MR. RUSSELL J ROSENQUIST NPI 1023257854

NPI Information

NPI: 1023257854
Provider Name: MR. RUSSELL J ROSENQUIST
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Organization: PANDO GERIATRIC COUNSELING, PC

PECOS Registration: Yes

Address:
4205 N 100TH ST
OMAHA, NE
ZIP 68134
Phone: (402) 619-1079
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MR. Russell J Rosenquist is a mental health counselor in Omaha, NE with 35 years of experience. MR. Russell J Rosenquist NPI is 1023257854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4205 N 100TH ST
OMAHA, NE
ZIP 68134-724
Phone: (402) 619-1079

The NPI 1023257854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/18/2009 and was last updated on 2/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	675	NEBRASKA	No
2	1041C0700X	Social Worker	Clinical	#653	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	#675	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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