Amy Marie Anderson, MFT

Individual provider Active NPI Marriage & Family Therapist · Fitchburg, WI

NPI 1124950852 · NPPES record last updated May 29, 2026

Key facts

NPI
1124950852
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1232228 (WI)
Practice address
2920 Marketplace Dr Ste 102
Fitchburg, WI 53719-5339
Phone
(608) 438-5829
Fax
(608) 438-5829
NPI assigned
May 29, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1232228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Haus Psychotherapy LLC. Marriage & Family Therapist Current Accepting new patients

Locations

2920 Marketplace Dr
Ste 102
Fitchburg, WI 53719
Phone (608) 205-7817

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1232228 WI Yes

Addresses

Primary practice location

2920 Marketplace Dr Ste 102
Fitchburg, WI 53719-5339

Mailing address

2920 Marketplace Dr Ste 102
Fitchburg, WI 53719-5339
Phone (608) 438-5829

Other providers in Fitchburg, WI

All providers in Fitchburg, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.