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TIM ENEVOLDSEN M.ED., LPC-S, PLLC
NPI 1184174609
Counselor - Professional in Amarillo, TX

Active since October 07, 2016
6666 W AMARILLO BLVD, SUITE 4, AMARILLO, TX 79106(806) 570-3775(806) 358-3627 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tim Enevoldsen M.ed., Lpc-s, Pllc NPPES

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

TIM ENEVOLDSEN M.ED., LPC-S, PLLC (NPI 1184174609) is a healthcare organization registered as a professional in Amarillo, Texas and active in the NPI registry since October 2016. The organization lists Timothy John Enevoldsen, Therapist, as its authorized official.

NPPES Registry Identity

NPI1184174609
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTIM ENEVOLDSEN M.ED., LPC-S, PLLC
Location Address6666 W AMARILLO BLVD, SUITE 4Amarillo, TX 79106-1756
Mailing Address6666 W Amarillo Blvd, Suite 4Amarillo, TX 79106-1756 · (806) 570-3775 · Fax (806) 358-3627
Phone(806) 570-3775
Fax(806) 358-3627
Organization SubpartNo
Authorized OfficialTimothy John EnevoldsenTherapist · (806) 570-3775
Enumeration DateOctober 7, 2016
✔ NPI 1184174609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 10727
6666 W AMARILLO BLVD, Amarillo, TX 79106
Open in Google Maps ↗

Other Identifiers 1

Medicaid095362205TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS UNITED ENERGY WORKERS HEALTHCARE LLC
Home Health
6666 W AMARILLO BLVD, #17
AMARILLO, TX 79106
Potter County (435) 459-4407
MRS. LEANN L SORRELS LPC
Counselor (Professional)
6666 W AMARILLO BLVD, SUITE 18
AMARILLO, TX 79106
Potter County (806) 690-4545
MRS. CAROL JEANNE KNIGHT L..P.C.
Counselor (Professional)
6666 W AMARILLO BLVD, SUITE 28
AMARILLO, TX 79106
Potter County (806) 683-1524
MR. TIMOTHY JOHN ENEVOLDSEN M.ED., LPC, LMFT
Counselor (Professional)
6666 W AMARILLO BLVD, SUITE 28
AMARILLO, TX 79106
Potter County (806) 570-3775

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 Tim Enevoldsen M.Ed., Lpc-S, PLLC's NPI number?

The NPI number for Tim Enevoldsen M.Ed., Lpc-S, PLLC is 1184174609. It was assigned to this organization in the NPPES registry on October 7, 2016.

Where is Tim Enevoldsen M.Ed., Lpc-S, PLLC located?

Tim Enevoldsen M.Ed., Lpc-S, PLLC is located at 6666 W Amarillo Blvd Suite 4, Amarillo, TX 79106. The listed phone number is (806) 570-3775.

What is Tim Enevoldsen M.Ed., Lpc-S, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tim Enevoldsen M.Ed., Lpc-S, PLLC was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.