Individual provider Active NPI

Kady Tronvold

  • Mental Health Counselor
  • La Vista, NE
National Provider Identifier
1073089884
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6296 Issued in NE
Practice address
6949 S 110TH St
La Vista, NE 68128-5721
Phone
(402) 973-0484
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1921 NE
Behavior Technician 106S00000X RBT-18-68214 NJ
Mental Health Counselor 101YM0800X 6296 NE Primary

Addresses

Primary practice location

6949 S 110TH St
La Vista, NE 68128-5721

Mailing address

6949 S 110TH St
La Vista, NE 68128-5721
Phone (402) 973-0484

Other practice location 1

900 W Norfolk Ave
Norfolk, NE 68701-5006
Phone (402) 370-3140

Other practice location 2

43 Elizabeth St
Pemberton, NJ 08068-1232
Phone (609) 316-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6296NEMDMental Health Counselor
RBT-18-68214NJMDBehavior Technician
1921NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Kidz Rehabilitation Mental Health Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1073089884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 S 110TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285721",
            "telephone_number": "402-973-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 S 110TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285721",
            "telephone_number": "402-973-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Norfolk Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687015006",
            "country_code": "US",
            "telephone_number": "402-370-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Pemberton",
            "state": "NJ",
            "postal_code": "080681232",
            "country_code": "US",
            "telephone_number": "609-316-0195",
            "fax_number": "609-353-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRONVOLD",
        "first_name": "KADY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1921",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-18-68214",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.