MEDICARE: KATHYA CARVAJAL

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

General Provider Information

NPI Number	:	1073073664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHYA CARVAJAL

Provider Business Mailing Address
First Line	:	4920 S 30TH ST STE 103
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-1656
Country	:	US
Telephone Number	:	402-734-4110
Fax Number	:	402-734-3990

Provider Business Practice Location Address
First Line	:	4920 S 30TH ST STE 103
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-1656
Country	:	US
Telephone Number	:	402-734-4110
Fax Number	:	402-734-3990

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

Provider Enumeration Date	:	03/21/2019
Last Update Date	:	04/06/2026

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1376500876 — DONALD W ALLISON PA
Practice Location Address:

4920 SO. 30TH STREET , SUITE 103
OMAHA, NE
68107-1656

Practice Phone: 402-734-4110
Practice Fax: 402-734-3990

1043321573 — STELLA G WASHINGTON P.A.-C
Practice Location Address:

4920 SOUTH 30TH STREET , SUITE 103
OMAHA, NE
68107-1656

Practice Phone: 402-734-4110
Practice Fax: 402-991-5642

1619068608 — DR. REGAN MACKINTOSH D.D.S.
Practice Location Address:

4920 SOUTH 30TH STREET , SUITE 103
OMAHA, NE
68107-1656

Practice Phone: 402-932-7204
Practice Fax: 402-952-1020

1477603470 — WILLIAM J OSTDIEK MD
Practice Location Address:

4920 S 30TH ST STE 103
OMAHA, NE
68107-1656

Practice Phone: 402-734-4110
Practice Fax: 402-347-3990

1184832016 — MRS. ADRIANA MARIA BUSTAMANTE-CONWAY MED
Practice Location Address:

4920 S 30TH ST STE 103
OMAHA, NE
68107-1656

Practice Phone: 402-734-4110
Practice Fax: 402-991-5642

Directions to “ KATHYA CARVAJAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.