Antonia Wollert, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2540 Issued in MN

Practice address

47-515 Waipua PL
Kaneohe, HI 96744-5446

Phone

(808) 517-9670

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Antonia Del Carmen Rivera Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1235705757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-515 WAIPUA PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-515 WAIPUA PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445446",
            "telephone_number": "808-517-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLERT",
        "first_name": "ANTONIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "RIVERA",
            "middle_name": "DEL CARMEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Windward Pediatrics, Inc.
• Windward Urgent Care Services, L.L.C
• Windward Vision Center Associates, Inc.
• Zachary M Wolf, LCSW
• Robert Woliver, PH.D.
• Sasha Wong-Fulton
• Jayson Kaleomana Wong, PHARMD
• Kyle Andrew Konapiliahi Wong, D.D.S
• Ryan Wong, PHARMD
• Sandra Evelyn Wood, PT

• Counselor in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.