Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851784722 Individual Practitioner Female Practitioner

Amy Burkholder

Counselor • Chaska, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Burkholder is a certified Counselor practicing in Chaska, MN. With approximately 16 years of clinical experience since completing medical education in 2010, Amy Burkholder delivers high-quality medical care to the local community at 111 HUNDERTMARK RD STE 205N.

Amy Burkholder is affiliated with Pride Counseling Services Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

111 Hundertmark Rd Ste 205n

Chaska, MN 553181586

Telephone 9524263856
Fax 9524263856

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chaska, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs Matches City Avg
City Avg: 16.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Chaska, MN (455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Burkholder (16 Years) 16 Yrs
Chaska Specialty Average (16.0 Years) 16.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-01-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 178.010249

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Hospital & Practice Group Affiliations

Pride Counseling Services Pllc

100 Warren St, Mankato, MN 560013762

Phone: 5072462667

Secondary Practice Locations

17729 Kettering Trl

Lakeville, MN 550449354

Phone: 6127502328

12918 63rd Ave N

Maple Grove, MN 553696001

Phone: 7632109966

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1124049903

PHDLP

Melissa Larson , LICSW

Counselor - Mental Health

NPI 1184219974

Licensed Independent Clinical Social Worker

Kelly Senesac , MA, LMFT

Marriage & Family Therapist

NPI 1508072604

Master of Arts, Licensed Marriage and Family Therapist

Nathaniel Shields

Counselor - Professional

NPI 1609473990
Dr. Richard Peterson , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1619152097

Doctor of Medicine (M.D.)

Dr. Amy Swingle , PsyD

Psychologist - Clinical

NPI 1649678848

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 07, 2021

Registered at 111 HUNDERTMARK RD STE 205N, CHASKA, MN 553181586 (Tel: 9524263856)

📍
Updated Business Mailing Address January 07, 2021

Registered at 111 HUNDERTMARK RD STE 205N, CHASKA, MN 553181586 (Tel: 9529031350)

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2015

Registered at 17729 KETTERING TRL, LAKEVILLE, MN 550449354 (Tel: 6127502328)

📍
Updated Business Mailing Address March 16, 2015

Registered at 17729 KETTERING TRL, LAKEVILLE, MN 550449354 (Tel: 6127502328)

👤
Provider Name / Credentials Updated March 16, 2015

Recorded as AMY BURKHOLDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Counselor (License #178.010249 in IL)

🟢
Initial NPI Registration & Enumeration March 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851784722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2015
Last Update: January 07, 2021
Sole Proprietor: Yes

Mailing Address

111 Hundertmark Rd Ste 205n

Chaska, MN 553181586

Phone: 9529031350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.