JENNIFER L ANTHOLZ
NPI 1780935569
Counselor - Mental Health in Saint Paul, NE

Active since September 20, 2012PECOS Enrolled
1113 SHERMAN ST, SAINT PAUL, NE 68873(308) 754-4421(308) 754-2303 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer L Antholz NPPES

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

JENNIFER L ANTHOLZ (NPI 1780935569) is an individual mental health provider in Saint Paul, Nebraska, licensed in Nebraska (9760) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780935569
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER L ANTHOLZ
Location Address1113 SHERMAN STSaint Paul, NE 68873-1546
Mailing AddressPo Box 406Saint Paul, NE 68873-0406 · (308) 754-4421 · Fax (308) 754-2303
Fax(308) 754-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 20, 2012
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1780935569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NE · 9760
1113 SHERMAN ST, Saint Paul, NE 68873

Other Identifiers 1

Other13231NE · Provisional Mental Health Practitioner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer L Antholz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173093176
PECOS Enrollment IDI20260601001419
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1113 SHERMAN ST
SAINT PAUL, NE 68873
Physical Therapist
1113 SHERMAN ST
SAINT PAUL, NE 68873
Physician Assistant
1113 SHERMAN ST
SAINT PAUL, NE 68873
Family Medicine
1113 SHERMAN ST
SAINT PAUL, NE 68873
Speech-Language Pathologist
1113 SHERMAN ST
SAINT PAUL, NE 68873
Physical Therapist
1113 SHERMAN ST
SAINT PAUL, NE 68873
Clinic/Center (Rural Health)
1113 SHERMAN ST
SAINT PAUL, NE 68873
Nurse Anesthetist, Certified Registered
1113 SHERMAN ST
SAINT PAUL, NE 68873

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 Jennifer Antholz's NPI number?

The NPI number for Jennifer Antholz is 1780935569. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Jennifer Antholz located?

Jennifer Antholz practices at 1113 Sherman St, Saint Paul, NE 68873. The listed phone number is (308) 754-4421.

What is Jennifer Antholz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Antholz enrolled in Medicare?

Yes. Jennifer Antholz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Antholz was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.