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Active NPI 1851404206 Individual Practitioner Male Practitioner

Timothy John Enevoldsen , MED, LPC, LMFT

Counselor - Professional • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Timothy Enevoldsen, MED, LPC, LMFT is a registered healthcare professional specializing in Counselor - Professional in Amarillo, TX. Practice services are available at 6666 W AMARILLO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6666 W Amarillo Blvd
Suite 28

Amarillo, TX 791061756

Telephone 8065703775
Fax 8063568189
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
273 Specialists

Practicing in Amarillo, TX (21203 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 10727

Definition to come...

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License TX 003822-042155

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
095362201 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Leann Sorrels , LPC

Counselor - Professional

NPI 1316079338

Licensed Professional Counselor

Carol Knight , LPC

Counselor - Professional

NPI 1720183619

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2008

Registered at 6666 W AMARILLO BLVD, SUITE 28, AMARILLO, TX 791061756 (Tel: 8065703775)

📍
Updated Business Mailing Address June 17, 2008

Registered at PO BOX 50291, AMARILLO, TX 791590291 (Tel: 8065703775)

👤
Provider Name / Credentials Updated June 17, 2008

Recorded as TIMOTHY ENEVOLDSEN, M.ED., LPC, LMFT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Counselor (License #10727 in TX)

🟢
Initial NPI Registration & Enumeration August 17, 2006

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: 1851404206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: June 17, 2008
Sole Proprietor: Yes

Mailing Address

Po Box 50291

Amarillo, TX 791590291

Phone: 8065703775

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.