MARK RICHARD AMUNDSEN (DMIN) – Professional Counselor, NPI 1053404665

MARK RICHARD AMUNDSEN (DMIN) is a healthcare provider. based in Glendale, Wisconsin. specializing in Professional Counselor. They hold the professional credentials DMIN. They hold a License No. LH00009180 (WA). The NPI Number for MARK RICHARD AMUNDSEN (DMIN) is 1053404665

Main info

Male
Name
MARK RICHARD AMUNDSEN (DMIN)
NPI
1053404665
Phone
(262) 789-1191
Address
5650 N GREENBAY AVE
Enumeration Date
2 October 2006
Last Update Date
14 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MARK RICHARD AMUNDSEN (DMIN)

  • 5650 N GREENBAY AVE

    GLENDALE, WI 53209

    Phone: (262) 789-1191

    Type: Location

  • Samaritan Center, 564, Northeast Ravenna Boulevard, Meridian, Green Lake, Seattle, King County, Washington, 98115, United States

    SEATTLE, WA 98115

    Phone: (206) 527-2266

    Fax: (206) 527-1009

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 53209)

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Frequently asked questions

Is MARK RICHARD AMUNDSEN (DMIN) listed with a National Provider Identifier?
Yes — MARK RICHARD AMUNDSEN (DMIN) has NPI 1053404665 on file in the registry.
Would MARK RICHARD AMUNDSEN (DMIN) appear as active to a payer?
You can treat MARK RICHARD AMUNDSEN (DMIN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MARK RICHARD AMUNDSEN (DMIN)?
MARK RICHARD AMUNDSEN (DMIN)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is MARK RICHARD AMUNDSEN (DMIN) registered?
Use Glendale, Wisconsin as the headline location for MARK RICHARD AMUNDSEN (DMIN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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