Individual provider Active NPI

Kylie Severin

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1407269624
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10247 Issued in NE
Practice address
2301 O St
Lincoln, NE 68510-1124
Phone
(402) 441-7940
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 10247 NE Primary
Social Worker 104100000X 6922 NE

Addresses

Primary practice location

2301 O St
Lincoln, NE 68510-1124

Mailing address

447 Steele Ave
Lincoln, NE 68510-1659
Phone (402) 937-0438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160119002177 NE Practitioner - Clinical Social Worker 2769785195 Reassigns benefits to 1 organization
I20250910001320 NE Practitioner - Mental Health Counselor 2769785195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lutheran Family Services of NE IncGroup PAC ID 2163324773, 17 clinicians

Practice addresses (Care Compare)

124 S 24TH St
Omaha, NE 68102-1226

7929 W Ctr Rd
Omaha, NE 68124-3104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10247NEMDMental Health Counselor
1616NEMDInternist Chiropractor
6922NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc CurrentSince Nov 18, 2025 Accepting new patients
Heartwell Therapy and Consulting LLC Mental Health CurrentSince Dec 17, 2023 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Dec 30, 2015 Accepting new patients

Locations

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1407269624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 STEELE AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101659",
            "telephone_number": "402-937-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101124",
            "telephone_number": "402-441-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERIN",
        "first_name": "KYLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10247",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "6922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.