Michelle Bedore, PLMHP – Mental Health Counselor

Key facts

NPI: 1508201047
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 9953 (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
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.

Blue Valley Behavioral Health Inc Community/Behavioral Health Agency · Beatrice, NE · NPI 1316019508

Medicare reassignment Care Compare group NPD NE

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2010
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Blue Valley Behavioral Health Inc (32 clinicians)

Practice addresses (Care Compare)

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

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 ID	State	Provider type	PAC ID	Details
I20231119000115	NE	Practitioner - Mental Health Counselor	7214385954	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
9953	NE	MD	Mental Health Counselor
1549	NE	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Blue Valley Behavioral Health Inc		Current since 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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	9953	NE	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2013.

{
    "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

All providers in Lincoln, NE · Mental Health Counselor in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.