Individual provider Active NPI

Amanda Katherine Heindl, APSW

  • Mental Health Counselor
  • Chippewa Falls, WI
National Provider Identifier
1942991682
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
134215-121 Issued in WI
Practice address
345 Frenette Dr Ste 4
Chippewa Falls, WI 54729-3072
Phone
(507) 317-2752
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 134215-121 WI Primary

Addresses

Primary practice location

345 Frenette Dr Ste 4
Chippewa Falls, WI 54729-3072

Mailing address

6612 183Rd St
Chippewa Falls, WI 54729-6435
Phone (507) 317-2752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134215-121WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1942991682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 183RD ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296435",
            "telephone_number": "507-317-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 FRENETTE DR STE 4",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293072",
            "telephone_number": "507-317-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINDL",
        "first_name": "AMANDA",
        "middle_name": "KATHERINE",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "134215-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.