Individual provider Active NPI

Antje A Rath, CMHC

  • Mental Health Counselor
  • Moab, UT
National Provider Identifier
1588708804
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6358921-6004 Issued in UT
Practice address
476 Williams Way Ste B
Moab, UT 84532-2065
Phone
(435) 719-5550
Fax
(435) 719-5551
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6358921-6004 UT Primary

Addresses

Primary practice location

476 Williams Way Ste B
Moab, UT 84532-2065

Mailing address

476 Williams Way Ste B
Moab, UT 84532-2065
Phone (435) 719-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20250514002514 UT Practitioner - Mental Health Counselor 8729506605 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moab Valley Healthcare, Inc. CurrentSince Mar 6, 2025 Accepting new patients
Moab Valley Healthcare, Inc CurrentSince Mar 6, 2025 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500

476 W Williams Way
Ste B
Moab, UT 84532
Phone (435) 719-5500

Organizations & group practices 3

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1588708804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 WILLIAMS WAY STE B",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322065",
            "telephone_number": "435-719-5550",
            "fax_number": "435-719-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 WILLIAMS WAY STE B",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322065",
            "telephone_number": "435-719-5550",
            "fax_number": "435-719-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATH",
        "first_name": "ANTJE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6358921-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.