Amanda Ogdahl

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01552 Issued in MN

Practice address

324 Broadway St Ste 206
Alexandria, MN 56308-1482

Phone

(320) 762-1762

NPI assigned

Sep 8, 2017

Last updated

Jul 31, 2019By the provider in NPPES

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 Ogdahl Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sanford Health of Northern MinnesotaGroup PAC ID 5597725168, 349 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanford Health of Northern Minnesota

  dba Sanford Health Kelliher Clinic

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697
  Medicare reassignment Care Compare group NPD
• Sanford Medical Center Fargo

  dba Sanford 1717 Medical Building

  • Family Medicine Physician
  • West Fargo, ND
  • NPI 1184917924

  MN

  Medicare reassignment NPD
• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149
  NPD
• Sanford Health of Northern Minnesota

  dba Sanford Health Walker Rehab Services

  • Physical Therapy Clinic/Center
  • Walker, MN
  • NPI 1902261456
  NPD
• Sanford Medical Center Fargo

  dba Sanford Health Twin Valley Clinic

  • Rural Health Clinic/Center
  • Twin Valley, MN
  • NPI 1689602682
  NPD
• Sanford Medical Center Fargo

  dba Sanford POWER Center

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1528009412
  NPD
• Minnewaska Area Schools #2149

  • Adolescent and Children Mental Health Clinic/Center
  • Starbuck, MN
  • NPI 1306913017
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1346768496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 22ND AVE NW",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563344547",
            "telephone_number": "612-325-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BROADWAY ST STE 206",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081482",
            "telephone_number": "320-762-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 John St",
            "address_purpose": "LOCATION",
            "city": "Starbuck",
            "state": "MN",
            "postal_code": "563814623",
            "country_code": "US",
            "telephone_number": "320-239-2257 x3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGDAHL",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CC01552",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adisrud@hotmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "324 Broadway St Ste 206",
            "city": "Alexandria",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563081482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "OGDAHL",
            "credential": "MS, LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David J. Odland, MD
• Paul M Odland
• Paula Joyelle Odland, LMFT
• Sharon Odland
• Nathan Ofstedal
• Julie Olberding, OTR/L
• Timothy Douglas Oldenkamp, PT
• Elizabeth Elin Oldre, MA, LPC
• Mary Kay Olerud
• Jeffrey R Olive, MD

• Professional Counselor in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.