AMANDA J ARDOLF (NPI# 1598132953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598132953 |
| Entity Type | Individual |
| Full Name | AMANDA J ARDOLF |
| Credential | MA, LPCC |
| Practice Address |
3100 W Lake St Ste 210 Minneapolis MN 55416-4527 |
| Practice Telephone | 6129256033 |
| Practice Fax Number | 6129258496 |
| Mailing Telephone | 6129256033 |
| Mailing Fax Number | 6129258496 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1027 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3100 W LAKE ST STE 210 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957101 | Ronald James Frederick Jr. | Psychologist | 3100 W Lake St, Suite 107, Minneapolis, MN 55416-4527 | 2005-07-26 |
| 1235665761 | Nicole Massey | Marriage & Family Therapist | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-05-03 |
| 1760923940 | Lynn Erika Penney | Counselor | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-03-20 |
| 1629526405 | Ariel Brinson | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-09-21 |
| 1952855918 | Roberta Ann Seelen-wolf | Registered Nurse | 3100 W Lake St, 210, Minneapolis, MN 55416-4527 | 2016-08-08 |
| 1619420817 | Julie Blatz | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-07-25 |
| 1750736708 | Kiana Joyner | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-04-27 |
| 1427415082 | Natalie Ann Tobeck | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-01-26 |
| 1578930293 | Leeann Catherine Lewis | Social Worker | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-08-28 |
| 1386028926 | Connie Lynn Edgar | Social Worker | 3100 W Lake St, Ste E210, Minneapolis, MN 55416-4527 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1508477514 | Great Lakes Arms Program | Counselor | 2917 15th Ave S, Minneapolis, MN 55407-1427 | 2020-08-12 |
| 1467077073 | Mandy Don Schloesser | Counselor | 2755 Grand St Ne, Minneapolis, MN 55418-2611 | 2020-06-09 |
| 1275156473 | Megan Rose Relson | Counselor | 3111 Mckinley St Ne, Minneapolis, MN 55418-2333 | 2020-05-21 |
| 1699307967 | Minneapolis Autism Center Corp | Counselor | 621 E 38th St, Minneapolis, MN 55407-2571 | 2020-02-05 |
| 1366083438 | John Arthur Flannagan | Counselor | 4037 13th Ave S, Minneapolis, MN 55407-3243 | 2019-09-30 |
| 1790331262 | Heather O'brien | Counselor | 2200 E Franklin Ave Ste 200, Minneapolis, MN 55404-2395 | 2019-08-12 |
| 1023679750 | Sarah Haag | Counselor | 800 E 28th St Wasie, Minneapolis, MN 55407-3723 | 2019-06-24 |
| 1447721634 | Patricia Marie Reinecke Lebedeva | Counselor | 2021 E Hennepin Ave Ste 330, Minneapolis, MN 55413-1798 | 2018-12-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on AMANDA J ARDOLF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.