Amanda J Metzler, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4983-125 Issued in WI

Practice address

3311 Packerland Dr Ste a
De Pere, WI 54115-9539

Phone

(920) 410-9373

Fax

(920) 247-2276

NPI assigned

Mar 20, 2013

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

Other identifiers 1

Other names 1

• Amanda J O'Brien Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Metzler Counseling Services, LLC

  • Professional Counselor
  • De Pere, WI
  • NPI 1326817594
  NPD Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1346582079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 GRANT ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159578",
            "telephone_number": "920-410-9373",
            "fax_number": "920-247-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PACKERLAND DR STE A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159539",
            "telephone_number": "920-410-9373",
            "fax_number": "920-247-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZLER",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4983-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028818",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "O'BRIEN",
            "middle_name": "J",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medexpress Primary Care Wisconsin, S.C.
• Shannon Meeks, LPC
• Vazhuvelil Namitha Menon, M.D.
• Mercy Family Practice SC
• Metzler Counseling Services, LLC
• Roderick L Meves, MD
• Michael James Meyer, MD
• Shelli A Meyer, APNP
• MH Health Care Services, PC
• Hamayun Saeed Mian, M.D.

• Professional Counselor in De Pere, WI
• Providers in De Pere, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.