Individual provider Active NPI

Jonathan Carl Metschke, M.A.-LMHP

  • Mental Health Counselor
  • Seward, NE
National Provider Identifier
1306997986
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3522 Issued in NE
Practice address
510 Bradford St
Seward, NE 68434-1708
Phone
(402) 643-0535
Fax
(402) 643-0540
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3522 NE Primary
Professional Counselor 101YP2500X 1769 NE

Addresses

Primary practice location

510 Bradford St
Seward, NE 68434-1708

Mailing address

2979 Little Salt Rd
Seward, NE 68434-7803
Phone (402) 646-2240

Other identifiers 2

IdentifierTypeStateIssuer
82199OtherBLUE CROSS AND BLUE SHIELD
47084125026MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20241017003940 NE Practitioner - Mental Health Counselor 0244762045 Practice locations: Seward, NE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

128 N 6TH St
Suite F
Seward, NE 68434-2072
Phone (402) 646-0103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3522NEMDMental Health Counselor
981NEMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Metschke Counseling Center Mental Health Past Accepting new patients
Amy Metschke Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1306997986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 LITTLE SALT RD",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684347803",
            "telephone_number": "402-646-2240",
            "fax_number": "402-646-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BRADFORD ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684341708",
            "telephone_number": "402-643-0535",
            "fax_number": "402-643-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METSCHKE",
        "first_name": "JONATHAN",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "M.A.-LMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3522",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "82199",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084125026",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, NE

Sources for this page

Verify at the official NPI Registry.