Organization Active NPI

Molly Bomberger Counseling Services LLC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1982416152
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOLLY BOMBERGER COUNSELING SERVICES LLC
Doing business as
Molly Bomberger Counseling Services
Practice address
5404 I Ave
Kearney, NE 68847-8464
Phone
(308) 293-0954
Fax
(833) 799-2021
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Molly Bomberger, LIMHPNPI 1043503543
Title
Therapist/LLC Owner
Phone
(308) 293-0954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5404 I Ave
Kearney, NE 68847-8464

Mailing address

5404 I Ave
Kearney, NE 68847-8464
Phone (308) 293-0954

Other names 1

  • Molly Bomberger Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227002430 NE Part B Supplier - Clinic/Group Practice 1850811357 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1982416152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 I AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478464",
            "telephone_number": "308-293-0954",
            "fax_number": "833-799-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 I AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478464",
            "telephone_number": "308-293-0954",
            "fax_number": "833-799-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY BOMBERGER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "BOMBERGER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "THERAPIST/LLC OWNER",
        "authorized_official_telephone_number": "308-293-0954",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molly Bomberger Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.