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ANTONIA WOLLERT LPC
NPI 1235705757
Counselor in Kaneohe, HI

Active since June 03, 2021PECOS Enrolled
47-515 WAIPUA PL, KANEOHE, HI 96744(808) 517-9670 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Antonia Wollert Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIA WOLLERT LPC (NPI 1235705757) is an individual counselor in Kaneohe, Hawaii, licensed in Minnesota (2540) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235705757
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANTONIA WOLLERTCredential: LPC
Location Address47-515 WAIPUA PLKaneohe, HI 96744-5446
Mailing Address47-515 Waipua PlKaneohe, HI 96744-5446
Phone(808) 517-9670
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 3, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1235705757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MN · 2540
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
47-515 WAIPUA PL, Kaneohe, HI 96744
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Other Names 1

Former Name (1)Ms. Antonia Del Carmen Rivera

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonia Wollert Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971091620
PECOS Enrollment IDI20251023003114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Antonia Wollert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
4,860 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonia Wollert's NPI number?

The NPI number for Antonia Wollert is 1235705757. It was assigned to this individual provider in the NPPES registry on June 3, 2021. The provider is also known as Ms. Antonia Del Carmen Rivera.

Where is Antonia Wollert located?

Antonia Wollert practices at 47-515 Waipua Pl, Kaneohe, HI 96744. The listed phone number is (808) 517-9670.

What is Antonia Wollert's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Antonia Wollert enrolled in Medicare?

Yes. Antonia Wollert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Antonia Wollert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonia Wollert reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonia Wollert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonia Wollert accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Antonia Wollert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antonia Wollert was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.