AMANDA R CARDINAL LPC NPI 1265969950

NPI Information

  • NPI: 1265969950
  • Provider Name: AMANDA R CARDINAL, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 123 N OAKLAND AVE
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 770-4088

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NPI Details

Amanda R Cardinal, LPC is a professional counselor in Green Bay, WI with 12 years of experience. Amanda R Cardinal, LPC NPI is 1265969950. 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:

123 N OAKLAND AVE
GREEN BAY, WI
ZIP 54303-831
Phone: (920) 770-4088
Fax: (651) 705-0026

The NPI 1265969950 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/12/2017 and was last updated on 4/23/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6319-125WISCONSINNo
2101YP2500XCounselorProfessional6319WISCONSINYes

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
1100068903MEDICAIDWISCONSIN

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: 11/21/2025

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