Provider Demographics
NPI:1144696055
Name:YOST, KRISTEN (LIMHP, LADC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:YOST
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11905 P ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2237
Mailing Address - Country:US
Mailing Address - Phone:402-915-0640
Mailing Address - Fax:402-382-1911
Practice Address - Street 1:11905 P ST STE 105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2237
Practice Address - Country:US
Practice Address - Phone:402-915-0640
Practice Address - Fax:402-382-1911
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2530101YM0800X
NE1377101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)