MS. AMANDA M KNUTSON (LPCC) – Professional Counselor, NPI 1366505935

MS. AMANDA M KNUTSON (LPCC) is a healthcare provider. based in Mankato, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 00433 (MN). The NPI Number for MS. AMANDA M KNUTSON (LPCC) is 1366505935

Main info

Female
32 Years Of Experience
Name
MS. AMANDA M KNUTSON (LPCC)
NPI
1366505935
Phone
(507) 779-7366
Address
1400 MADISON AVE STE 628
Enumeration Date
18 December 2006
Last Update Date
12 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073871350
Graduation Year
1994 (32 years ago)
PAC ID
3274055587
Group Practice PAC ID
0941214381
Professional Enrollment ID
I20250317001067
Address ID
MN560013639MA209XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for MS. AMANDA M KNUTSON (LPCC)

  • 628, Madison Avenue, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560015488

    Phone: (507) 779-7366

    Fax: (855) 847-9876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250317001067IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941214381View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

Where can patients find MS. AMANDA M KNUTSON (LPCC)'s NPI?
You can confirm MS. AMANDA M KNUTSON (LPCC) with NPI 1366505935; it appears in the national provider directory.
Is MS. AMANDA M KNUTSON (LPCC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MS. AMANDA M KNUTSON (LPCC) work in?
You can think of MS. AMANDA M KNUTSON (LPCC) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MS. AMANDA M KNUTSON (LPCC) practice in Minnesota?
You will see Mankato, Minnesota on file for MS. AMANDA M KNUTSON (LPCC) alongside any extra practice locations.
Is MS. AMANDA M KNUTSON (LPCC) a real provider?
This page reflects official NPPES data for NPI 1366505935. Always confirm identity and privileges with the practice and licensing boards.

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