Individual provider Active NPI

Paola Alejandra Carrillo-Lazalde, PLMPH

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1265215529
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3701 Union Dr Ste 100
Lincoln, NE 68516-6629
Phone
(402) 205-5677
Fax
(402) 417-0411
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

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

Addresses

Primary practice location

3701 Union Dr Ste 100
Lincoln, NE 68516-6629

Mailing address

3701 Union Dr Ste 100
Lincoln, NE 68516-6629
Phone (402) 205-5677

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Jul 18, 2016 Accepting new patients

Locations

820 Central Ave
Ste 4
Auburn, NE 68305
Phone (402) 274-4373

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

1212 Ivy Ave
Ste 2
Crete, NE 68333
Phone (402) 826-2000

103 E 35th
Ste A
Falls City, NE 68355
Phone (402) 245-4458

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

1903 4th Corso
Nebraska City, NE 68410
Phone (402) 873-5505

459 S 6th St
Ste 1
Seward, NE 68434
Phone (402) 643-3343

722 S Lincoln Ave
Ste 1
York, NE 68467
Phone (402) 362-6128

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1265215529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 UNION DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166629",
            "telephone_number": "402-205-5677",
            "fax_number": "402-417-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 UNION DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166629",
            "telephone_number": "402-205-5677",
            "fax_number": "402-417-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO-LAZALDE",
        "first_name": "PAOLA",
        "middle_name": "ALEJANDRA",
        "credential": "PLMPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.