Amanda L Redepenning, M.A., L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1945 Issued in MN

Practice address

11334 86TH Ave N
Maple Grove, MN 55369-4528

Phone

(763) 255-2125

Fax

(763) 255-2126

NPI assigned

Dec 20, 2010

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 names 1

• Amanda Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1790088409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CLINTON AVE APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043660",
            "telephone_number": "612-709-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11334 86TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694528",
            "telephone_number": "763-255-2125",
            "fax_number": "763-255-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDEPENNING",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew T Rasmussen, MD
• Cristal Mae Ratliff
• RBF LLC
• Erin Lisa Reberg, DNP, WHNP-BC
• Recovery Partners, PC at Maple Grove
• Melissa Kae Redfield, CMT
• Susan Marie Redman
• Ashley Elizabeth Reed
• John P Reed, M.D.
• Kristen Reed, DPT

• Marriage & Family Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.