AMANDA JOANN DEGNER LPC NPI 1043849698

NPI Information

NPI: 1043849698
Provider Name: AMANDA JOANN DEGNER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4655 N PORT WASHINGTON RD
GLENDALE, WI
ZIP 53212
Phone: (414) 266-3339
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Amanda Joann Degner, LPC is a professional counselor in Glendale, WI. Amanda Joann Degner, LPC NPI is 1043849698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4655 N PORT WASHINGTON RD
GLENDALE, WI
ZIP 53212-004
Phone: (414) 266-3339
Fax: (414) 247-1875

The enumeration date for this NPI number is 4/6/2020 and was last updated on 3/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4352-226	WISCONSIN	No
2	101YP2500X	Counselor	Professional	8772-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	19842654	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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