Active NPI
Kaylee Kristine Smalley, LIMHP
- Mental Health Counselor
- Elkhorn, NE
National Provider Identifier
1902610611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3318
- Practice address
- 3403 N 191St Ave
Elkhorn, NE 68022-3350 - Phone
- (402) 625-0091
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 3318 | NE | Primary |
Addresses
Primary practice location
3403 N 191St Ave
Elkhorn, NE 68022-3350
Mailing address
5711 N 129TH St
Omaha, NE 68164-1323
Phone (218) 348-7166
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 |
|---|---|---|---|
| 3318 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1902610611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641323",
"telephone_number": "218-348-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 N 191ST AVE",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223350",
"telephone_number": "402-625-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "KAYLEE",
"middle_name": "KRISTINE",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.