Individual provider Active NPI

Clifton Hobbs III, PLMHP

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1740838390
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11980 Issued in NE
Practice address
2910 Sheridan Rd
Bellevue, NE 68123-1992
Phone
(402) 708-9928
NPI assigned
Aug 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 11980 NE Primary

Addresses

Primary practice location

2910 Sheridan Rd
Bellevue, NE 68123-1992

Mailing address

2910 Sheridan Rd
Bellevue, NE 68123-1992
Phone (402) 708-9928

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
I20250723003786 NE Practitioner - Mental Health Counselor 6103332390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1620 Wilshire Dr
Suite 240
Bellevue, NE 68005-6613
Phone (402) 431-2003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11980NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
U Reimagined Counseling Services, LLC Mental Health CurrentSince Mar 15, 2022 Accepting new patients

Locations

1620 Wilshire Dr
Ste 240
Bellevue, NE 68005
Phone (402) 431-2003

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1740838390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SHERIDAN RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231992",
            "telephone_number": "402-708-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SHERIDAN RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231992",
            "telephone_number": "402-708-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "CLIFTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.