Individual provider Active NPI

Michelle Bedore, PLMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1508201047
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9953 Issued in NE
Practice address
210 Gateway Mall
Suite 342
Lincoln, NE 68505-2489
Phone
(720) 238-5469
Fax
(402) 434-3970
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9953 NE Primary

Addresses

Primary practice location

210 Gateway Mall
Suite 342
Lincoln, NE 68505-2489

Mailing address

210 Gateway Mall
Suite 342
Lincoln, NE 68505-2489
Phone (720) 238-5469

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
I20231119000115 NE Practitioner - Mental Health Counselor 7214385954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Behavioral Health IncGroup PAC ID 3971403668, 32 clinicians

Practice addresses (Care Compare)

1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9953NEMDMental Health Counselor
1549NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

1123 N 9th St
Beatrice, NE 68310
Phone (402) 228-3386

3901 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 261-4017

355 E 4th St
Wahoo, NE 68066
Phone (402) 443-4414

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1508201047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GATEWAY MALL",
            "address_2": "SUITE 342",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052489",
            "telephone_number": "720-238-5469",
            "fax_number": "402-434-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GATEWAY MALL",
            "address_2": "SUITE 342",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052489",
            "telephone_number": "720-238-5469",
            "fax_number": "402-434-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDORE",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.