Individual provider Active NPI

Janette Bentley, LMHP

  • Mental Health Counselor
  • Fremont, NE
National Provider Identifier
1093039307
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
814 Issued in NE
Practice address
511 N D St
Fremont, NE 68025-5051
Phone
(402) 651-0684
Fax
(402) 727-0779
NPI assigned
Mar 16, 2010
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1000 NE
Mental Health Counselor 101YM0800X 814 NE Primary
Mental Health Counselor 101YM0800X 3585 NE

Addresses

Primary practice location

511 N D St
Fremont, NE 68025-5051

Mailing address

511 N D St
Fremont, NE 68025-5051
Phone (402) 651-0684

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
I20240203000270 NE Practitioner - Mental Health Counselor 6103269444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

511 N D St
Fremont, NE 68025-5051
Phone (402) 651-0684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
814NEMDAddiction (Substance Use Disorder) Counselor
1000NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Destination Hope Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

511 N D St
Fremont, NE 68025
Phone (402) 651-0684

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1093039307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N D ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255051",
            "telephone_number": "402-651-0684",
            "fax_number": "402-727-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N D ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255051",
            "telephone_number": "402-651-0684",
            "fax_number": "402-727-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JANETTE",
        "credential": "LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "814",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.