Kaylie A Agostine
Individual provider Active NPI Mental Health Counselor · Lincoln, NE
NPI 1790657682 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1790657682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 14640 (NE)
- Practice address
- 2444 O St
Lincoln, NE 68510-1125 - Phone
- (402) 475-7666
- Fax
- (402) 476-9623
- NPI assigned
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14640 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14640 | NE | Yes |
Addresses
Primary practice location
2444 O St
Lincoln, NE 68510-1125
Mailing address
2444 O St
Lincoln, NE 68510-1125
Phone (402) 475-7666
Other providers in Lincoln, NE
- Noelie Agbeko
- Ageless Men'S Health Series II NE LLC
- Amy L Agena
- Karla Ellen Agena
- Joseph Agory
- Sonia Aguero
- Gabriela Karee Aguilar
- Maria Aguilar
- Samantha Aguilar
- Savannah Aguilar
All providers in Lincoln, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.