Individual provider Active NPI

Amanda Jean Schafer, LPC

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1063195774
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10839-125 Issued in WI
Practice address
2620 Stewart Ave Ste 310
Wausau, WI 54401-4162
Phone
(715) 848-0525
Fax
(715) 848-8665
NPI assigned
Aug 9, 2023
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10839-125 WI Primary

Addresses

Primary practice location

2620 Stewart Ave Ste 310
Wausau, WI 54401-4162

Mailing address

2620 Stewart Ave Ste 310
Wausau, WI 54401-4162
Phone (715) 848-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214000549 WI Practitioner - Mental Health Counselor 1153851522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charis Counseling LLCGroup PAC ID 1456244276, 13 clinicians

Practice addresses (Care Compare)

2620 Stewart Ave
Suite 310
Wausau, WI 54401-4162
Phone (715) 848-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10839-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling, LLC Professional CurrentSince Mar 3, 2024 Accepting new patients
Northwest Counseling & Guidance Clinic PastSince Aug 1, 2023 Accepting new patients
Northwest Counseling & Guidance Clinic PastSince Aug 1, 2023 Accepting new patients

Locations

2620 Stewart Ave
Ste 310
Wausau, WI 54401
Phone (715) 848-0525

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1063195774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10839-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.