Organization
REACHING IVY
Active
Other names
Healing Ivy Rising
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE KERN LMHP, MAMT, MT-BC (OWNER/LICENSED MENTAL HEALTH)
(402) 242-3745
Entity
Organization
Contact information
Practice address
1408 FORT CROOK RD S, BELLEVUE, NE 68005-3061
(402) 860-3324
Mailing address
15340 DAVIDSON ST, BENNINGTON, NE 68007-5460
(402) 860-3324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225A00000X
Music Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15482048
CAQH
NE
05
—
52351562100
—
NE
Enumeration date
12/19/2025
Last updated
04/28/2026
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