Active NPI
Jennifer L Antholz
- Mental Health Counselor
- Saint Paul, NE
National Provider Identifier
1780935569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9760
- Practice address
- 1113 Sherman St
Saint Paul, NE 68873-1546 - Phone
- (308) 754-4421
- Fax
- (308) 754-2303
- NPI assigned
- Sep 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9760 | NE | Primary |
Addresses
Primary practice location
1113 Sherman St
Saint Paul, NE 68873-1546
Mailing address
PO Box 406
Saint Paul, NE 68873-0406
Phone (308) 754-4421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13231 | Other | NE | PROVISIONAL MENTAL HEALTH PRACTITIONER |
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9760 | NE | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Saint Paul, NE
- NPI 1154626216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1780935569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406",
"city": "SAINT PAUL",
"state": "NE",
"postal_code": "688730406",
"telephone_number": "308-754-4421",
"fax_number": "308-754-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 SHERMAN ST",
"city": "SAINT PAUL",
"state": "NE",
"postal_code": "688731546",
"telephone_number": "308-754-4421",
"fax_number": "308-754-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHOLZ",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL MENTAL HEALTH PRACTITIONER",
"identifier": "13231",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.