AMANDA DONATH (LPC) – Professional Counselor, NPI 1043611205
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,748 MENTAL HEALTH COUNSELOR in WI
Provider Addresses for AMANDA DONATH (LPC)
712 SUMMIT AVE
OCONOMOWOC, WI 530663827
Phone: (262) 226-2006
Fax: (262) 226-2462
Type: Location
712 SUMMIT AVE STE 714
OCONOMOWOC, WI 530663827
Phone: (262) 226-2006
Fax: (262) 226-2462
Type: Mailing
400 W RIVER WOODS PKWY
3RD FLOOR
GLENDALE, WI 532121060
Phone: (414) 465-3091
Type: Mailing
3267 S 16TH ST
OHIO BLDG RM 200
MILWAUKEE, WI 532154500
Phone: (414) 389-3111
Type: Location
101 W Edison Ave Ste 246
Appleton, WI 549157807
Phone: (262) 226-2006
Type: Location
169 E WISCONSIN AVE UNIT G
OCONOMOWOC, WI 530663062
Phone: (262) 226-2006
Fax: (262) 226-2462
Type: Mailing
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: 2024-01-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240115001227 | I | Mental Health Counselor | WI | TBD |
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.
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 53066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | WI | |
| Clinical Psychologist | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI |
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