Amanda Jean Vaske, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1770 Issued in MN

Practice address

1310 Highway 96 E Ste 211
White Bear Lake, MN 55110-3619

Phone

(651) 329-1266

Fax

(651) 846-5312

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Amanda Vaske LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1346759180
  NPD Authorized official
• Maplewood Wellness Center of Minnesota

  • Marriage & Family Therapist
  • Maplewood, MN
  • NPI 1083167340
  NPD (past) Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063696300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 211",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103619",
            "telephone_number": "651-329-1266",
            "fax_number": "651-846-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 211",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103619",
            "telephone_number": "651-329-1266",
            "fax_number": "651-846-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 County Road D E Ste A",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095357",
            "country_code": "US",
            "telephone_number": "651-329-1266",
            "fax_number": "651-846-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASKE",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosamund Vang
• Summer Vang
• Tong Vang
• Yinkong Pisheon Vang
• Jenna Vargas, BCBA
• Ricardo Felix Vazquez, PTA, NREMT
• Rosalynn Vertiz-Hackett, PA
• Mary Ellen Louise Vidovic, LICSW
• Vision Quest Property Management, Inc.
• Christopher Voeller

• Marriage & Family Therapist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.