Individual provider Active NPI

Jennifer Emnott, MA BCBA

  • Behavior Analyst
  • Two Rivers, WI
National Provider Identifier
1922481027
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18671 Issued in WI
Practice address
3120 Memorial Dr
Two Rivers, WI 54241-3229
Phone
(920) 657-1465
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-18671 WI Primary

Addresses

Primary practice location

3120 Memorial Dr
Two Rivers, WI 54241-3229

Mailing address

1002 S Fisk St Ste 290
Green Bay, WI 54304-2265
Phone (920) 498-0117

Other identifiers 1

IdentifierTypeStateIssuer
100050001MedicaidWI

Other names 1

  • Jennifer Anacker Former name

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mindright Behavior & Consulting Behavior Analyst Current Accepting new patients
Phoenix Behavioral Health Services, LLC CurrentSince Jun 2, 2024 Accepting new patients
Centerpiece Behavior Analyst Past Accepting new patients

Locations

3120 Memorial Dr
Two Rivers, WI 54241
Phone (920) 657-1465

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1922481027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S FISK ST STE 290",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042265",
            "telephone_number": "920-498-0117",
            "fax_number": "888-493-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413229",
            "telephone_number": "920-657-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMNOTT",
        "first_name": "JENNIFER",
        "credential": "MA BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1-15-18671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100050001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ANACKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Two Rivers, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.