FRESH START THERAPY LLC
NPI 1396574471
Counselor - Mental Health in Omaha, NE

Active since July 29, 2024
1055 N 115TH ST STE 105, OMAHA, NE 68154(402) 937-8619 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fresh Start Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH START THERAPY LLC (NPI 1396574471) is a healthcare organization registered as a mental health in Omaha, Nebraska and active in the NPI registry since July 2024. The organization lists Andrew Eric Koepp, President/founder, as its authorized official.

NPPES Registry Identity

NPI1396574471
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameFRESH START THERAPY LLC
Location Address1055 N 115TH ST STE 105Omaha, NE 68154-4419
Mailing Address8011 Grover StOmaha, NE 68124-3331 · (402) 740-4447
Organization SubpartNo
Authorized OfficialAndrew Eric KoeppPresident/founder · (402) 937-8619
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1396574471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1055 N 115TH ST STE 105, Omaha, NE 68154

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fresh Start Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fresh Start Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1023781168
11717 BURT ST STE 101
Omaha, NE 68154
(402) 937-8619
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Start Therapy LLC's NPI number?

The NPI number for Fresh Start Therapy LLC is 1396574471. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Fresh Start Therapy LLC located?

Fresh Start Therapy LLC is located at 1055 N 115th St Ste 105, Omaha, NE 68154. The listed phone number is (402) 937-8619.

What is Fresh Start Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Fresh Start Therapy LLC enrolled in Medicare?

Yes. Fresh Start Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fresh Start Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Fresh Start Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fresh Start Therapy LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Fresh Start Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fresh Start Therapy LLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.