Alysianna Camacho
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Grand Island, NE
NPI 1861152332 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1861152332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 14249 (NE)
- Practice address
- 2815 S Locust St
Grand Island, NE 68801-8861 - Phone
- (308) 398-0350
- Fax
- (308) 398-0351
- NPI assigned
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 14249 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NE | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14249 | NE | Yes |
Addresses
Primary practice location
2815 S Locust St
Grand Island, NE 68801-8861
Mailing address
2815 S Locust St
Grand Island, NE 68801-8861
Phone (308) 398-0350
Other practice location 1
1811 W. 2nd St
Suite 450
Grand Island, NE 68803-5473
Phone (308) 379-8619
Other providers in Grand Island, NE
- Stephen D Cain
- Dayana Calcines
- Jacqueline Jo Caldwell
- Ann Mechelle Calhoun
- Heather Mae Calkins
- David Phillip Camacho
- Shelia Camargo
- Scott Cameron
- Wendy Cameron
- Jennifer Patricia Cammon-Larson
All providers in Grand Island, NE · Addiction (Substance Use Disorder) 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 Feb 17, 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.