Amanda Kay Lustig, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

L232-0117-8560-09 Issued in WI

Practice address

808 Main St E
Menomonie, WI 54751-2735

Phone

(715) 232-1116

Fax

(715) 232-5987

NPI assigned

Mar 16, 2007

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)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• County of Dunn

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
  • NPI 1588667406
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710011978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N12697 350TH ST",
            "city": "BOYCEVILLE",
            "state": "WI",
            "postal_code": "547259459",
            "telephone_number": "715-949-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-232-1116",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "L232-0117-8560-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry J. Linzmeier, M.F.T.
• Lindsay Lee Littleton, MS, LPC-IT
• Living Quality Care LLC
• Julie Locke, FNP
• Hannah Kay Lunde, P.T.
• Dylan John Lynch, LAT, ATC
• Jason Martin Lynn, BSW
• Erin Mabry-Hilleshiem, LPC
• Gregory J Mack, DPM
• Morgan Mack, DPM

• Case Manager/Care Coordinator in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.