Active NPI
Mayra A Avalos, PLMHP
- Mental Health Counselor
- Lexington, NE
National Provider Identifier
1568059152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12433
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12433 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kloch Counseling | Current | Accepting new patients | |
| Region II Human Services | Past | Accepting new patients | |
| Region II Human Services | Past | 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.
-
- Clinical Social Worker
- Lexington, NE
- NPI 1790029734
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Platte, NE
- NPI 1013923382
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lexington, NE
- NPI 1083799126
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.