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MIDWEST COUNTRY CLINIC LLC
NPI 1417155433
Counselor - Mental Health in Bassett, NE

Active since July 11, 2007
407 S CLARK ST, BASSETT, NE 68714(402) 684-2908(402) 913-3454 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Midwest Country Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST COUNTRY CLINIC LLC (NPI 1417155433) is a healthcare organization registered as a mental health in Bassett, Nebraska and active in the NPI registry since July 2007. The organization lists Melissa Dearmont, Owner, as its authorized official.

NPPES Registry Identity

NPI1417155433
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIDWEST COUNTRY CLINIC LLC
Location Address407 S CLARK STBassett, NE 68714-5062
Mailing AddressPo Box 26Bassett, NE 68714-0026 · (402) 684-2908 · Fax (402) 913-3454
Phone(402) 684-2908
Fax(402) 913-3454
Organization SubpartNo
Authorized OfficialMelissa DearmontOwner · (402) 760-3002
Enumeration DateJuly 11, 2007
Last NPPES UpdateAugust 12, 2025
✔ NPI 1417155433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 257
407 S CLARK ST, Bassett, NE 68714
Open in Google Maps ↗

Other Identifiers 2

Medicaid10026522900NE
Other85517NE · Bc/bs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midwest Country Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Midwest Country Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Melissa Dearmont, MSW,LICSW, LIMHP, CM
Clinical Social Worker
NPI 1922057868
407 S CLARK ST
Bassett, NE 68714
(402) 684-2908
✔ PECOS✔ Accepts MedicareSame address
Amber Keefe, LIMHP
Mental Health Counselor
NPI 1174181804
407 S CLARK ST
Bassett, NE 68714
(402) 684-2908
✔ PECOS✔ Accepts MedicareSame address
Sally Davis-Jackson, MSW, PLMHP, CSW
Clinical Social Worker
NPI 1225672371
202 E HIGHWAY 20
Bassett, NE 68714
(402) 684-2908
✔ PECOS✔ Accepts Medicare0.2 mi
Murlene Osburn, APRN
Nurse Practitioner
NPI 1457788531
202 E HIGHWAY 20
Bassett, NE 68714
(402) 382-0911
✔ PECOS✔ Accepts Medicare0.2 mi
Kathy Schindler, LCSW
Clinical Social Worker
NPI 1326077827
325 MAIN ST BOX 232
Neligh, NE 68756
(402) 394-1677
✔ PECOS83 mi
Rita Maloley, LCSW
Clinical Social Worker
NPI 1962226720
1307 MACY LN
Kearney, NE 68845
(402) 759-1794
✔ PECOS133 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Country Clinic LLC's NPI number?

The NPI number for Midwest Country Clinic LLC is 1417155433. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Midwest Country Clinic LLC located?

Midwest Country Clinic LLC is located at 407 S Clark St, Bassett, NE 68714. The listed phone number is (402) 684-2908.

What is Midwest Country Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Midwest Country Clinic LLC enrolled in Medicare?

Yes. Midwest Country Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Country Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Midwest Country Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4), Mental Health Counselor (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Midwest Country Clinic LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Midwest Country Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Midwest Country Clinic LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.