Amenti Theophilos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20855 Kensington Blvd
Lakeville, MN 55044-7542

Phone

(507) 291-2662

Fax

(507) 205-2885

NPI assigned

Mar 16, 2026

Sex

Male

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

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1275480451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 131ST ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 KENSINGTON BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447542",
            "telephone_number": "507-291-2662",
            "fax_number": "507-205-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHILOS",
        "first_name": "AMENTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tessness
• The Chiropractic Clinic PLLC
• The Hearing Aid Doctor, Inc.
• The Wellness Living Center, LLC
• Gregory Lloyd Thelen Thelen, MD
• Randy M Thilgen, CRNA
• Carly Thiner, NP-C
• Kyla Jean Thole
• Michaela Thomas
• Gabrielle Thompson

• Mental Health Counselor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.