1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Clinic Center
  6. NPI Profile

LAVENDER ROAD THERAPY SERVICES, LLC
NPI 1942130638
Clinic/Center - Adult Mental Health in Omaha, NE

Active since May 22, 2026
4611 S 96TH ST STE 174, OMAHA, NE 68127(402) 320-2336 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lavender Road Therapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVENDER ROAD THERAPY SERVICES, LLC (NPI 1942130638) is a healthcare organization registered as an adult mental health in Omaha, Nebraska and active in the NPI registry since May 2026. The organization lists Angela A Kenedy, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1942130638
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLAVENDER ROAD THERAPY SERVICES, LLC
Location Address4611 S 96TH ST STE 174Omaha, NE 68127-1242
Mailing Address4611 S 96th St Ste 174Omaha, NE 68127-1242 · (402) 320-2336
Phone(402) 320-2336
Organization SubpartNo
Authorized OfficialAngela A KenedyTherapist/owner · (402) 320-2336
Enumeration DateMay 22, 2026
Last NPPES UpdateMay 23, 2026
NPPES CertifiedMay 23, 2026
✔ NPI 1942130638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4611 S 96TH ST STE 174, Omaha, NE 68127
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANGELA A KENEDY LIMHP, LCSW, LADC
Social Worker (Clinical)
4611 S 96TH ST STE 174
OMAHA, NE 68127
Douglas County (402) 320-2336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavender Road Therapy Services, LLC's NPI number?

The NPI number for Lavender Road Therapy Services, LLC is 1942130638. It was assigned to this organization in the NPPES registry on May 22, 2026.

Where is Lavender Road Therapy Services, LLC located?

Lavender Road Therapy Services, LLC is located at 4611 S 96th St Ste 174, Omaha, NE 68127. The listed phone number is (402) 320-2336.

What is Lavender Road Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Lavender Road Therapy Services, LLC was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.