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AMANDA GRUNDSTROM
NPI 1093694101
Counselor - Mental Health in Cedar Crest, NM

Active since September 02, 2025
12165 NM-14 B9, CEDAR CREST, NM 87008(505) 913-7771 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Grundstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GRUNDSTROM (NPI 1093694101) is an individual mental health provider in Cedar Crest, New Mexico and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1093694101
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA GRUNDSTROM
Location Address12165 NM-14 B9Cedar Crest, NM 87008
Mailing Address3813 N Pole Loop NeRio Rancho, NM 87144-5379 · (505) 980-7479 · Fax (505) 980-7479
Phone(505) 913-7771
Sole ProprietorNo
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1093694101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12165 NM-14 B9, Cedar Crest, NM 87008
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Grundstrom's NPI number?

The NPI number for Amanda Grundstrom is 1093694101. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Amanda Grundstrom located?

Amanda Grundstrom practices at 12165 Nm-14 B9, Cedar Crest, NM 87008. The listed phone number is (505) 913-7771.

What is Amanda Grundstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Grundstrom was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.