Amy Bernstein

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10707-120 Issued in WI

Practice address

14949 62ND St N
Stillwater, MN 55082-6102

Phone

(651) 430-6613

Fax

(651) 430-6527

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By the provider in NPPES

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

Other names 1

• Amy Shafer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1962051615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14949 62ND ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826102",
            "telephone_number": "651-430-6613",
            "fax_number": "651-430-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14949 62ND ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826102",
            "telephone_number": "651-430-6613",
            "fax_number": "651-430-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10707-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHAFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Ruth Bednar
• Katie Leigh Bell, DNP, FNP-C, BSN, RN
• Kassie V Belonio
• Blake Bender, MA, LMFT
• Joan Lucille Benner, MD
• Margaret Berry
• Nicole Marie Bettin, LADC
• Suzanne Carol Beveroth Pollack, LISW
• Carly Michelle Bierl
• Jacob Andrew Binder, MD

• Mental Health Counselor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.