Kamara Lanae Avant, PLMHP
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
NPI 1083424147 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1083424147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 3812 N 60TH St
Omaha, NE 68104-2749 - Phone
- (402) 885-5817
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- kamara.avant.p1@direct.charlesdrew.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14203 | NE | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
3812 N 60TH St
Omaha, NE 68104-2749
Mailing address
3812 N 60TH St
Omaha, NE 68104-2749
Phone (402) 885-5817
Other practice location 1
5030 Grand Ave
Omaha, NE 68104-2367
Phone (402) 451-3553
Other practice location 2
3812 N 60th St
Omaha, NE 68104-2749
Phone (402) 885-5817
Other providers in Omaha, NE
- Christine Avalos
- Brenda Irene Avant
- Damone Antell Avant Jr.
- Emily Avant
- Jennefer M Avant
- Leauna Avant
- Lionel Ray Avant
- Londell Avant
- Shannon Avant
- Maida Avdic
All providers in Omaha, NE · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.