MEDICARE: KAITLYN RUBINO 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	11533	NE
2	101YM0800X	Mental Health Counselor	2620	NE

General Provider Information

NPI Number	:	1902386295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN RUBINO LIMHP

Provider Business Mailing Address
First Line	:	4235 S 213TH TER
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-3366
Country	:	US
Telephone Number	:	402-932-7788
Fax Number	:

Provider Business Practice Location Address
First Line	:	18049 OAK ST STE B
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68130-6093
Country	:	US
Telephone Number	:	402-533-9354
Fax Number	:

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

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	01/26/2026

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