Amanda Joy Holmberg, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2382 Issued in MN

Practice address

3535 Plymouth Blvd # 3535
Plymouth, MN 55447-1385

Phone

(651) 401-5010

NPI assigned

Jun 19, 2012

Last updated

Feb 20, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sexual Wellness Institute

  • Marriage & Family Therapist
  • Mendota Heights, MN
  • NPI 1508252719
  Authorized official Same address or phone
• Rum River Counseling, Inc.

  • Marriage & Family Therapist
  • Andover, MN
  • NPI 1073578472
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1972866507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PLYMOUTH BLVD STE 110",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471393",
            "telephone_number": "651-401-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PLYMOUTH BLVD # 3535",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471385",
            "telephone_number": "651-401-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Gordon Hofius, M.P.T.
• Melanie A Hoiland, PA
• Kayla Hoistad, RPH
• Kelly Ann Holden
• Lacy Nichole Hollowell
• Joalle L Holmberg, PA
• Laura Holmberg, LPCC
• H Spencer Holmes, M.D.
• Nathan A Holmquist, PHARMD
• Sara Louise Holsather, PA-C

• Marriage & Family Therapist in Plymouth, MN
• Providers in Plymouth, 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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.