Sherry Lynne Hubbard, MS LIMHP MFT PC

Individual provider Active NPI Marriage & Family Therapist · Bellevue, NE

NPI 1295701068 · NPPES record last updated Feb 2, 2024

Key facts

NPI
1295701068
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
65 (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
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240206000408 NE Practitioner - Marriage and Family Therapist 7214370386 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
398NEMDProfessional Counselor
65NEMDAudiologist-Hearing Aid Fitter

Practice roles

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

Locations

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
84862OtherNEBLUE CROSS BLUE SHIELD
9085OtherNEMIDLANDS CHOICE
7949569OtherNEAETNA

Other names

  • Sherry Lynne Bennett Former name

Other providers in Bellevue, NE

All providers in Bellevue, NE · Marriage & Family Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.