Individual provider Active NPI

Jennifer Zitterkopf, CPC, LIMHP

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1750030136
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2915 Issued in NE
Practice address
820 W 56TH St Apt 206
Kearney, NE 68845-1032
Phone
(423) 596-4978
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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 2915 NE Primary

Addresses

Primary practice location

820 W 56TH St Apt 206
Kearney, NE 68845-1032

Mailing address

820 W 56TH St Apt 206
Kearney, NE 68845-1032
Phone (423) 596-4978

Other identifiers 2

IdentifierTypeStateIssuer
2915OtherNEPRIVATE AND GROUP INSURANCE
2915MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1750030136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 56TH ST APT 206",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451032",
            "telephone_number": "423-596-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W 56TH ST APT 206",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451032",
            "telephone_number": "423-596-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTERKOPF",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "CPC, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE AND GROUP INSURANCE",
            "identifier": "2915",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.