AMANDA NUSBAUM LPCC NPI 1679168876

NPI Information

  • NPI: 1679168876
  • Provider Name: AMANDA NUSBAUM, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9298 CENTRAL AVE NE STE 310
    BLAINE, MN
    ZIP 55434
  • Phone: (651) 955-4633

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NPI Details

Amanda Nusbaum, LPCC is a professional counselor in Blaine, MN with 9 years of experience. Amanda Nusbaum, LPCC NPI is 1679168876. 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:

9298 CENTRAL AVE NE STE 310
BLAINE, MN
ZIP 55434-219
Phone: (651) 955-4633
Fax: (651) 440-9827

The NPI 1679168876 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 3/9/2021 and was last updated on 8/21/2025.

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
1101YP2500XCounselorProfessionalCC02768MINNESOTAYes

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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