COLLABORATIVE PSYCH PRACTITIONERS
NPI 1922532324
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bennington, NE
About Collaborative Psych Practitioners NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLABORATIVE PSYCH PRACTITIONERS (NPI 1922532324) is a healthcare organization registered as a mental health (including community mental health center) in Bennington, Nebraska and active in the NPI registry since April 2017. The organization lists Molly Petersen, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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)
Collaborative Psych Practitioners is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Collaborative Psych Practitioners, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Camp-Grimit Petersen LLC's NPI number?
The NPI number for Camp-Grimit Petersen LLC is 1922532324. It was assigned to this organization in the NPPES registry on April 12, 2017. The provider is doing business as Collaborative Psych Practitioners.
Where is Camp-Grimit Petersen LLC located?
Camp-Grimit Petersen LLC is located at 12077 Elmwood Dr, Bennington, NE 68007. The listed phone number is (402) 332-7648.
What is Camp-Grimit Petersen LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Camp-Grimit Petersen LLC enrolled in Medicare?
Yes. Camp-Grimit Petersen LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Camp-Grimit Petersen LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Camp-Grimit Petersen 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 Nurse Practitioner (4) and Clinical Social Worker (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Camp-Grimit Petersen 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 Camp-Grimit Petersen 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 Camp-Grimit Petersen LLC was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Collaborative Psych Practitioners · NPI 1922532324
Mental Health (Including Community Mental Health Center) organization in Bennington, Nebraska. Organization record, active in the CMS NPPES registry since April 12, 2017.
## Identity
- **NPI:** 1922532324 (Entity type: Organization)
- **Enumerated:** April 12, 2017
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Camp-Grimit Petersen Llc
- **Organization subpart:** No
- **Authorized official:** Molly Petersen, CO-OWNER
## Practice location
- **Address:** 12077 ELMWOOD DR, Bennington, NE 68007-1716
- **Phone:** (402) 332-7648
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Clinical Social Worker (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1922532324) · Data from the CMS NPPES public registry.