MEDICARE: KARI LYN FENTON 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	1176	NE

General Provider Information

NPI Number	:	1639437866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI LYN FENTON LIMHP

Provider Business Mailing Address
First Line	:	2546 N 63RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-4028
Country	:	US
Telephone Number	:	402-686-7648
Fax Number	:	888-972-6285

Provider Business Practice Location Address
First Line	:	2546 N 63RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-4028
Country	:	US
Telephone Number	:	402-686-7648
Fax Number	:	888-972-6285

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

Provider Enumeration Date	:	04/25/2012
Last Update Date	:	09/11/2025

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