Payton Jibri Hogan, MS, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2953 Issued in NE

Practice address

5858 Wenninghoff Rd Ste 2
Omaha, NE 68134-1911

Phone

(402) 512-3475

Fax

(402) 206-2759

NPI assigned

Feb 25, 2020

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Bear Company LLC

  dba Bear Company Counseling

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1568191849
  NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1376177741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 WENNINGHOFF RD STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341911",
            "telephone_number": "402-512-3475",
            "fax_number": "402-206-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 WENNINGHOFF RD STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341911",
            "telephone_number": "402-512-3475",
            "fax_number": "402-206-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "PAYTON",
        "middle_name": "JIBRI",
        "credential": "MS, LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1765",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2953",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12129",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027143800",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "payton.hogan@bearcompanycounseling.com",
            "affiliation": "N",
            "address_1": "5858 Wenninghoff Rd Ste 2",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681341911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "barryco1994@gmail.com",
            "affiliation": "N",
            "address_1": "5858 Wenninghoff Rd Ste 3",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Lee Hofsommer
• Jayden Hogan-Marshall
• Christina Hogan
• Jenna Hogan
• Michelle Troia Hogan, LMHP, CCLS, ATR
• Rebecca Hogan, DPT
• Robert M Hogan, DDS
• Valaria Hogan
• Kiley Hoge
• Nathan Ryan Hogenmiller, MD

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.