Amanda Rose Draxler, MS, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2435-226 Issued in WI

Practice address

196 3Rd St
Fond Du Lac, WI 54935-4418

Phone

(920) 921-3343

Fax

(920) 921-0989

NPI assigned

Feb 23, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.draxler.1@28621.direct.athenahealth.com

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1225420698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 3RD ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354418",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 3RD ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354418",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAXLER",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2435-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Doolittle
• Erin Marie Doolittle, CRNA
• Doyle and Doyle SC
• Kathleen Doyle-Kelly, D.D.S.
• Sarah Rose Drake-Ricart, ATR, LPC
• Kristen Drewry
• Marea A Dricken, PT, OTR
• John M Driedric, PHARMD
• Joseph M Drinka, M.D.
• Janet M Drummond, PA-C

• Mental Health Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.