Active NPI
Lydia Kahn, TMHC
- Mental Health Counselor
- Council Bluffs, IA
National Provider Identifier
1497598734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 126799
- Practice address
- 29 S Main St
Council Bluffs, IA 51503-9070 - Phone
- (904) 502-4261
- NPI assigned
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 126799 | IA | Primary |
Addresses
Primary practice location
29 S Main St
Council Bluffs, IA 51503-9070
Mailing address
10826 Old Mill Rd Ste 103a
Omaha, NE 68154-2660
Phone (402) 651-5095
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126799 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cord Where Science Meets Connection LLC | Mental Health | Current | Accepting new patients |
Locations
29 S Main St
Council Bluffs, IA 51503
Phone (402) 256-7913
10826 Old Mill Rd
Ste 103A
Omaha, NE 68154
Phone (402) 256-7913
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1558995662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1497598734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10826 OLD MILL RD STE 103A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542660",
"telephone_number": "402-651-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 S MAIN ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039070",
"telephone_number": "904-502-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "LYDIA",
"credential": "TMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "126799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.