Individual provider Active NPI

Mayra A Avalos, PLMHP

  • Mental Health Counselor
  • Lexington, NE
National Provider Identifier
1568059152
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12433 Issued in NE
Practice address
101 W 8TH St Ste a
Lexington, NE 68850-1971
Phone
(308) 325-0627
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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 12433 NE Primary

Addresses

Primary practice location

101 W 8TH St Ste a
Lexington, NE 68850-1971

Mailing address

101 W 8TH St Ste a
Lexington, NE 68850-1971
Phone (308) 325-0627

Other practice location 1

307 E 5th St
Lexington, NE 68850-2110
Phone (308) 324-6754

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
12433NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kloch Counseling CurrentSince Feb 19, 2023 Accepting new patients
Region II Human Services PastSince Jan 1, 2021 Accepting new patients
Region II Human Services PastSince Jan 1, 2021 Accepting new patients

Locations

101 W 8th St
Ste A
Lexington, NE 68850
Phone (308) 324-7017

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1568059152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 8TH ST STE A",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501971",
            "telephone_number": "308-325-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH ST STE A",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501971",
            "telephone_number": "308-325-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NE",
            "postal_code": "688502110",
            "country_code": "US",
            "telephone_number": "308-324-6754",
            "fax_number": "308-324-5118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "MAYRA",
        "middle_name": "A",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; 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.