Individual provider Active NPI

Marvin Bishop Jr., MA LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1508064080
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1142 Issued in NE
Practice address
5115 F St
Omaha, NE 68117-2807
Phone
(402) 397-9866
Fax
(402) 397-1404
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 607 NE
Mental Health Counselor 101YM0800X 1142 NE Primary

Addresses

Primary practice location

5115 F St
Omaha, NE 68117-2807

Mailing address

5115 F St
Omaha, NE 68117-2807
Phone (402) 397-9866

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
I20240119000220 NE Practitioner - Mental Health Counselor 0840642443 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1142NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Behavioral Health CurrentSince Dec 12, 2023 Accepting new patients
Omni Behavioral Health CurrentSince Dec 12, 2023 Accepting new patients

Locations

2300 S 13th St
Lincoln, NE 68502
Phone (402) 474-3322

8715 Oak St
Omaha, NE 68124
Phone (402) 333-0898

5115 F St
Omaha, NE 68117
Phone (402) 397-9866

Organizations & group practices 2

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1508064080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681172807",
            "telephone_number": "402-397-9866",
            "fax_number": "402-397-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681172807",
            "telephone_number": "402-397-9866",
            "fax_number": "402-397-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARVIN",
        "name_suffix": "Jr.",
        "credential": "MA LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "607",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.