Antoinette Tegtmeier, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304250 Issued in OH

Practice address

6210 Bellefontaine Rd
Huber Heights, OH 45424-4009

Phone

(937) 236-1800

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Act Counseling Services LLC

  • Clinical Social Worker
  • Beavercreek, OH
  • NPI 1649087529
  NPD Authorized official
• New Creation Counseling Center

  • Counselor
  • Tipp City, OH
  • NPI 1427461763
  NPD (past)
• New Creation Counseling Inc

  • Voluntary or Charitable Agency
  • Tipp City, OH
  • NPI 1134295439
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1164055794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 BELLEFONTAINE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244009",
            "telephone_number": "937-236-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 BELLEFONTAINE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244009",
            "telephone_number": "937-236-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 W Russell Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "45365",
            "country_code": "US",
            "telephone_number": "727-205-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7695 S County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Tipp City",
            "state": "OH",
            "postal_code": "453719215",
            "country_code": "US",
            "telephone_number": "937-667-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4381 Tonawanda Trl",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454301961",
            "country_code": "US",
            "telephone_number": "937-426-5033",
            "fax_number": "937-426-9044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Seaman Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436162497",
            "country_code": "US",
            "telephone_number": "727-205-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEGTMEIER",
        "first_name": "ANTOINETTE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Tanner, M.A., CCC-SLP
• Taylor Hensley
• Leigh Ann Taylor, D.C.
• Terri Lynn Taylor
• Taylorsville Family Dental
• Jeralyn Renee Tharp, LPCC-S LICDC
• The Lactation Network, LLC
• The Laurels of Huber Heights, LLC
• The Wave of Huber Heights, LLC
• Thomas D Theil, D.D.S.

• Clinical Social Worker in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.