MEDICARE: MRS. TARA MICHELLE KAMPEN LIMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10980	NE
2	101YM0800X	Mental Health Counselor	5335	NE
3	101YM0800X	Mental Health Counselor	3951	NE

General Provider Information

NPI Number	:	1942292180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TARA MICHELLE KAMPEN LIMHP

Provider Business Mailing Address
First Line	:	19511 JOSEPHINE ST
Second Line	:
City	:	GRETNA
State	:	NE
Zip	:	68028-4271
Country	:	US
Telephone Number	:	402-861-9088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 N 115TH ST STE 205
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-4422
Country	:	US
Telephone Number	:	402-403-9892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/30/2025

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