Individual provider Active NPI

Molly Bomberger, MS

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1043503543
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2594 Issued in NE
Practice address
3810 Central Ave
Kearney, NE 68847-8134
Phone
(308) 293-0954
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2594 NE Primary

Addresses

Primary practice location

3810 Central Ave
Kearney, NE 68847-8134

Mailing address

5404 I Ave
Kearney, NE 68847-8464
Phone (308) 293-0954

Other practice location 1

5404 I Ave
Kearney, NE 68847-8464
Phone (308) 293-0954

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
I20240130000858 NE Practitioner - Mental Health Counselor 5890148597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5404 I Ave
Kearney, NE 68847-8464
Phone (308) 293-0954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Bomberger Counseling Services LLC Mental Health CurrentSince Dec 24, 2024 Accepting new patients
South Central Behavioral Services Current Accepting new patients
South Central Behavioral Services CurrentSince Jan 1, 2024 Accepting new patients
South Central Behavioral Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

616 W 5th St
Hastings, NE 68901
Phone (402) 463-5684

3810 Central Ave
Kearney, NE 68847
Phone (308) 237-5951

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1043503543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 I AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478464",
            "telephone_number": "308-293-0954",
            "fax_number": "308-234-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478134",
            "telephone_number": "308-293-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5404 I Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688478464",
            "country_code": "US",
            "telephone_number": "308-293-0954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMBERGER",
        "first_name": "MOLLY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.