Amy Bernstein
Individual provider Active NPI Mental Health Counselor · Stillwater, MN
NPI 1962051615 · NPPES record last updated Sep 5, 2019
Key facts
- NPI
- 1962051615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10707-120 (WI)
- Practice address
- 14949 62ND St N
Stillwater, MN 55082-6102 - Phone
- (651) 430-6613
- Fax
- (651) 430-6527
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10707-120 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10707-120 | WI | Yes |
Addresses
Primary practice location
14949 62ND St N
Stillwater, MN 55082-6102
Mailing address
14949 62ND St N
Stillwater, MN 55082-6102
Phone (651) 430-6613
Other names
- Amy Shafer
Other providers in Stillwater, MN
- Katie Leigh Bell
- Kassie V Belonio
- Blake Bender
- Mykenzie Stegeman Bender
- Joan Lucille Benner
- Margaret Berry
- Nicole Marie Bettin
- Suzanne Carol Beveroth Pollack
- Carly Michelle Bierl
- Jacob Andrew Binder
All providers in Stillwater, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.