Organization Active NPI

Jeanine Jantz, LCPC, LLC

  • Mental Health Counselor
  • Derby, KS
National Provider Identifier
1053225995
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEANINE JANTZ, LCPC, LLC
Practice address
1121 N College Park St Ste 700
Derby, KS 67037-3666
Phone
(316) 243-8362
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Jeanine Jantz, M.ED.
Title
Owner/Provider
Phone
(316) 243-8362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1121 N College Park St Ste 700
Derby, KS 67037-3666

Mailing address

1121 N College Park St Ste 700
Derby, KS 67037-3666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1053225995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N COLLEGE PARK ST STE 700",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N COLLEGE PARK ST STE 700",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373666",
            "telephone_number": "316-243-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE JANTZ, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "JANTZ",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "316-243-8362",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.