Provider Demographics
NPI:1710914874
Name:WOLFE, RACHEL ELIZABETH LOSEN (LPC)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELIZABETH LOSEN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17330 WRIGHT ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2157
Mailing Address - Country:US
Mailing Address - Phone:402-881-6334
Mailing Address - Fax:
Practice Address - Street 1:17330 WRIGHT ST STE 105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2157
Practice Address - Country:US
Practice Address - Phone:402-881-6334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE564101YA0400X
NE1354101YM0800X, 101YP2500X
NE1835101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025854900Medicaid
NE120644000Medicaid
NE1002509700Medicaid