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Active NPI 1053404665 Individual Practitioner Male Practitioner

Mark Richard Amundsen , DMIN

Counselor - Professional • Glendale, WI

Professional Overview & Biography Verified Profile Summary

Mark Amundsen, DMIN is a registered healthcare professional specializing in Counselor - Professional in Glendale, WI. Practice services are available at 5650 N GREENBAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5650 N Greenbay Ave

Glendale, WI 53209

Telephone 2627891191
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Glendale, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
64 Specialists

Practicing in Glendale, WI (4511 Statewide)

Telehealth Adoption Rate
4.7% 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

CMS Verified: 2022-07-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 4127-125

Definition to come...

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License WA LH00009180

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Vincent Vogt , MA, LPC

Counselor - Professional

NPI 1003567140

Master of Arts, Licensed Professional Counselor

Nicole Szaniawski , RDN, CD

Dietitian, Registered

NPI 1013398726

Registered Dietitian Nutritionist, CD

NPI 1023106911

Doctor of Psychology (Psy.D.)

James Holtz , LPC

Counselor - Professional

NPI 1023436979

Licensed Professional Counselor

Kelly Muston

Counselor - Professional

NPI 1023481033
Jeffrey Nerone

Counselor - Professional

NPI 1023625506

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 14, 2022

Registered at 5650 N GREENBAY AVE, GLENDALE, WI 53209 (Tel: 2627891191)

📍
Updated Business Mailing Address July 14, 2022

Registered at 5650 N GREENBAY AVE, GLENDALE, WI 53209 (Tel: 2627891191)

👤
Provider Name / Credentials Updated July 14, 2022

Recorded as MARK AMUNDSEN, DMIN

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 564 NE RAVENNA BLVD, SEATTLE, WA 98115 (Tel: 2065272266)

📍
Updated Business Mailing Address July 08, 2007

Registered at 564 NE RAVENNA BLVD, SEATTLE, WA 98115 (Tel: 2065272266)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK AMUNDSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Marriage & Family Therapist (License #LH00009180 in WA)

🟢
Initial NPI Registration & Enumeration October 02, 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: 1053404665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 14, 2022
Sole Proprietor: No

Mailing Address

5650 N Greenbay Ave

Glendale, WI 53209

Phone: 2627891191

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.