Individual provider Active NPI

John Frederick Hargreaves Jr., LIMHP, LPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1013738681
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3661 Issued in NE
Practice address
5715 S 34TH St Ste 500
Lincoln, NE 68516-6654
Phone
(402) 205-5677
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3661 NE Primary
Professional Counselor 101YP2500X 2925 NE

Addresses

Primary practice location

5715 S 34TH St Ste 500
Lincoln, NE 68516-6654

Mailing address

1825 Boston Cir
Lincoln, NE 68521-1558
Phone (402) 440-5233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111002769 NE Practitioner - Mental Health Counselor 2163956368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lumos Mental Health Counseling Services LLCGroup PAC ID 0941641740, 5 clinicians

Practice addresses (Care Compare)

5715 S 34TH St
Suite 500
Lincoln, NE 68516-6654
Phone (402) 205-5677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2925NEMDCounselor
3661NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lumos Mental Health Counseling Services LLC Mental Health CurrentSince Oct 17, 2024 Accepting new patients

Locations

3701 Union Dr
Ste 100
Lincoln, NE 68516
Phone (402) 205-5677

5715 S 34th St
Ste 500
Lincoln, NE 68516
Phone (402) 205-5677

7130 S 29th St
Ste D8
Lincoln, NE 68516
Phone (402) 205-5677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1013738681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BOSTON CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211558",
            "telephone_number": "402-440-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 S 34TH ST STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166654",
            "telephone_number": "402-205-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGREAVES",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "LIMHP, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3661",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.