Amanda Ungs, MA, LPC
Individual provider Active NPI Professional Counselor · Jordan, MN
NPI 1043764764 · NPPES record last updated Feb 24, 2017
Key facts
- NPI
- 1043764764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1881 (MN)
- Practice address
- 105 2ND St W
Jordan, MN 55352-1409 - Phone
- (651) 235-5403
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1881 | MN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1881 | MN | Yes |
Addresses
Primary practice location
105 2ND St W
Jordan, MN 55352-1409
Mailing address
105 2ND St W
Jordan, MN 55352-1409
Phone (651) 235-5403
Other providers in Jordan, MN
- Elizabeth M. Thelemann-Zuniga
- Total Health Advantage
- Heidi Marie Pahl Tousignant
- Cathy Jo Turner
- Tyler Daniel Ukkelberg
- Valleyview of Jordan, LLC
- Vitalnest Home Care LLC
- Julie Ann Wolter
- Wordy Bird Pediatric Speech and Language Services LLC
- Joan Marie Young
All providers in Jordan, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.