Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kaitlyn Taylor Runyon, PLMHPPCMSW

Individual provider Clinical Social Worker · NPI 1073233540

Mrs. Kaitlyn Taylor Runyon, PLMHPPCMSW is a Mental Health Counselor in Omaha, Nebraska. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
5
Licensed in
NE
In the registry since
2022
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Practice location Address checks out

15705 W Dodge Rd Ste 102
Omaha, NE 68118
Phone: (402) 575-5577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12637 (NE)

Record details

NPI number1073233540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLMHPPCMSW
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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