MR. RUSSELL J ROSENQUIST – Mental Health Counselor, NPI 1023257854

MR. RUSSELL J ROSENQUIST is a healthcare provider. based in Omaha, Nebraska. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 675 (NE). The NPI Number for MR. RUSSELL J ROSENQUIST is 1023257854

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. RUSSELL J ROSENQUIST
NPI
1023257854
Phone
(402) 619-1079
Address
4205 N 100TH ST
Enumeration Date
18 February 2009
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025069000
Graduation Year
1989 (37 years ago)
PAC ID
1052320447
Group Practice PAC ID
9638394505
Professional Enrollment ID
I20250224002563
Address ID
NE681062714OM7100XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:17State licenses:3Digital endpointsOther names

843 MENTAL HEALTH COUNSELOR in NE

Provider Addresses for MR. RUSSELL J ROSENQUIST

  • 4205 N 100TH ST

    OMAHA, NE 681343724

    Phone: (402) 619-1079

    Type: Mailing

  • 42ND @ DEWEY ST

    OMAHA, NE 681981023

    Phone: (402) 552-6007

    Type: Location

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190509001543IClinical Social WorkerNETBD
I20250224002563IMental Health CounselorNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour29037$0
90834Psychotherapy, 45 minutes8717$0
90832Psychotherapy, 30 minutes4013$0
90791Psychiatric diagnostic evaluation2626$0
View full utilization report →

Insurance plans in this area (ZIP 68134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638394505View full group profile
NameSpecialtyState
Physician AssistantIA
Physical Therapist In Private PracticeNE
R H E U M A T O L O G YNE
Nurse PractitionerNE
O P T O M E T R YNE
-NE
-NE
-NE
Family PracticeNE
Internal MedicineNE

Reviews

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Frequently asked questions

Does MR. RUSSELL J ROSENQUIST have a public NPI I can cite?
Public records show MR. RUSSELL J ROSENQUIST under NPI 1023257854.
Does the public listing show MR. RUSSELL J ROSENQUIST as active?
MR. RUSSELL J ROSENQUIST's NPI record reflects an active status in NPPES.
Which specialty label fits MR. RUSSELL J ROSENQUIST?
NPPES ties MR. RUSSELL J ROSENQUIST to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. RUSSELL J ROSENQUIST?
MR. RUSSELL J ROSENQUIST is associated with Omaha, Nebraska in the same public data insurers reference.
Who maintains MR. RUSSELL J ROSENQUIST's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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