Individual provider Active NPI

Reginald Bollinger, PLMHP, PMSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1659676690
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8841 Issued in NE
Practice address
2000 P St
Lincoln, NE 68503-3630
Phone
(402) 435-4044
Fax
(402) 435-4051
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8841 NE Primary
Social Worker 104100000X 6671 NE

Addresses

Primary practice location

2000 P St
Lincoln, NE 68503-3630

Mailing address

2633 P St
Lincoln, NE 68503-3528
Phone (402) 435-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7929 W Ctr Rd
Omaha, NE 68124-3104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8841NEMDMental Health Counselor
6671NEMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1659676690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 P ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033528",
            "telephone_number": "402-435-4044",
            "fax_number": "402-435-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 P ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033630",
            "telephone_number": "402-435-4044",
            "fax_number": "402-435-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "REGINALD",
        "credential": "PLMHP, PMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8841",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "6671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.