Active NPI
Jonathan Carl Metschke, M.A.-LMHP
- Mental Health Counselor
- Seward, NE
National Provider Identifier
1306997986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82199 | Other | BLUE CROSS AND BLUE SHIELD | |
| 47084125026 | Medicaid | NE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3522 | NE | MD | Mental Health Counselor |
| 981 | NE | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Seward, NE
- NPI 1922522986
-
- Mental Health Counselor
- Seward, NE
- NPI 1356607816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.