Individual provider Active NPI

Amanda B Kontor

  • Social Worker
  • La Porte, IN
National Provider Identifier
1932706710
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33009702A Issued in IN
Practice address
512 H St
La Porte, IN 46350-4862
Phone
(219) 670-9829
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009702A IN Primary

Addresses

Primary practice location

512 H St
La Porte, IN 46350-4862

Mailing address

512 H St
La Porte, IN 46350-4862
Phone (219) 670-9829

Other identifiers 1

IdentifierTypeStateIssuer
33009702AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20250801000738 IN Practitioner - Clinical Social Worker 8921516923 Reassigns benefits to 1 organization
I20250821001417 IL Practitioner - Clinical Social Worker 8921516923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33009702AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC CurrentSince Jul 15, 2025 Accepting new patients
Sondermind Provider Network LLC CurrentSince Jul 15, 2025 Accepting new patients

Locations

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1932706710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 H ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504862",
            "telephone_number": "219-670-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 H ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504862",
            "telephone_number": "219-670-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTOR",
        "first_name": "AMANDA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009702A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33009702A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.