Individual provider Active NPI

Sherry Lynne Hubbard, MS LIMHP MFT PC

  • Marriage & Family Therapist
  • Bellevue, NE
National Provider Identifier
1295701068
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
65 Issued in NE
Practice address
1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2992
Phone
(402) 292-7712
Fax
(402) 292-0144
NPI assigned
Feb 23, 2006
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 520 NE
Professional Counselor 101YP2500X 398 NE
Marriage & Family Therapist 106H00000X 65 NE Primary

Addresses

Primary practice location

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2992

Mailing address

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2992
Phone (402) 292-7712

Other names 1

  • Sherry Lynne Bennett Former name

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
I20240206000408 NE Practitioner - Marriage and Family Therapist 7214370386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2980
Phone (402) 292-7712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
520NEMDClinical Psychologist
65NEMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Counseling, LLC Mental Health CurrentSince Dec 13, 2023 Accepting new patients

Locations

1406 Fort Crook Rd S
Ste 401
Bellevue, NE 68005
Phone (402) 292-7712

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1295701068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S",
            "address_2": "SUITE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052992",
            "telephone_number": "402-292-7712",
            "fax_number": "402-292-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 FORT CROOK RD S",
            "address_2": "SUITE 401",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052992",
            "telephone_number": "402-292-7712",
            "fax_number": "402-292-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SHERRY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MS LIMHP MFT PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "520",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "398",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NE",
            "license": "65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "BENNETT",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.