Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972846194 Individual Practitioner Female Practitioner

Amanda Lynn Etlicher

Counselor - Professional • Ripon, WI

Professional Overview & Biography Verified Profile Summary

Amanda Etlicher is a registered healthcare professional specializing in Counselor - Professional in Ripon, WI. Practice services are available at 14 ARCADE GLEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Arcade Glen Rd

Ripon, WI 549712100

Telephone 9205390225

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ripon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Ripon, WI (4511 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

Medical Specialties & State Licenses

CMS Verified: 2023-08-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 5860-125

Definition to come...

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 22, 2023

Registered at 14 ARCADE GLEN RD, RIPON, WI 549712100 (Tel: 9205390225)

📍
Updated Business Mailing Address August 22, 2023

Registered at 14 ARCADE GLEN RD, RIPON, WI 549712100

👤
Provider Name / Credentials Updated August 22, 2023

Recorded as AMANDA ETLICHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2023

Counselor (License #5860-125 in WI)

NPI Profile Active April 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2013

Registered at 439 S MAIN ST, FOND DU LAC, WI 549354951 (Tel: 7155796205)

📍
Updated Business Mailing Address April 05, 2013

Registered at 439 S MAIN ST, FOND DU LAC, WI 549354951

👤
Provider Name / Credentials Updated April 05, 2013

Recorded as AMANDA HERING

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2013

Counselor (License #1612-226 in WI)

🟢
Initial NPI Registration & Enumeration April 05, 2013

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: 1972846194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2013
Last Update: August 22, 2023
Sole Proprietor: No

Mailing Address

14 Arcade Glen Rd

Ripon, WI 549712100

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.