Individual provider Active NPI

Kyla Conway, LIMHP, LMHP

  • Mental Health Counselor
  • Ord, NE
National Provider Identifier
1013541622
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2844 Issued in NE
Practice address
2707 L St
Ord, NE 68862-1275
Phone
(308) 728-4340
NPI assigned
Feb 24, 2020
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5734 NE
Mental Health Counselor 101YM0800X 2844 NE Primary

Addresses

Primary practice location

2707 L St
Ord, NE 68862-1275

Mailing address

2707 L St
Ord, NE 68862-1275
Phone (308) 728-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210003642 NE Practitioner - Mental Health Counselor 3971039272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley County HospitalGroup PAC ID 7810808250, shared by 8 NPIs, 15 clinicians

Practice addresses (Care Compare)

2707 L St
Ord, NE 68862-1275
Phone (308) 728-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2844NEMDMental Health Counselor
5734NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valley County Hospital CurrentSince Jan 1, 2024 Accepting new patients
Valley County Hospital Mental Health Current Accepting new patients
Valley County Hospital CurrentSince Jan 1, 2024 Accepting new patients

Locations

2707 L St
Ord, NE 68862
Phone (308) 728-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1013541622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 L ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621275",
            "telephone_number": "308-728-4340",
            "fax_number": "308-728-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 L ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621275",
            "telephone_number": "308-728-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "KYLA",
        "credential": "LIMHP, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5734",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.