Amanda Jane Rosenkoetter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006651 Issued in IL

Practice address

22216 SE 272ND St
Maple Valley, WA 98038-7420

Phone

(312) 203-5804

NPI assigned

Dec 8, 2007

Last updated

Feb 20, 2017By 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

Medicare fee-for-service enrollment

Enrolled in WA, MT2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Rainier Compassionate Counseling

  • Psychologist
  • Maple Valley, WA
  • NPI 1942740378

  MT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1689857054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22216 SE 272ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387420",
            "telephone_number": "312-203-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22216 SE 272ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387420",
            "telephone_number": "312-203-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENKOETTER",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-08",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robinson Family Chiropractic PLLC
• Duggan Grant Robinson, DC
• Rock Therapeutic Services LLC
• Adrienne Rock, M.S., CCC/SLP
• Valerie Victoria Bates Romanski, DO
• James P Roswell
• Christina Joanne Rowley
• Danny Ray Rude, DDS
• Joel Matthew Rude, DMD
• Rebecca Brown Rush-Peet, M.D.

• Clinical Psychologist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.