KRISTINE MARIE AMDOR LPC
NPI 1225641640
Counselor - Professional in Mequon, WI

Active since August 25, 2020PECOS EnrolledAccepts Medicare Assignment
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092(855) 443-1595 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristine Marie Amdor Lpc NPPES

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

KRISTINE MARIE AMDOR LPC (NPI 1225641640) is an individual professional provider in Mequon, Wisconsin, licensed in Wisconsin (11493-125) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225641640
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTINE MARIE AMDORCredential: LPC
Location Address11518 N PORT WASHINGTON RD STE 202Mequon, WI 53092-3443
Mailing Address11518 N Port Washington Rd Ste 202Mequon, WI 53092-3443 · (855) 443-1595
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 25, 2020
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1225641640 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 WI · 11493-125
11518 N PORT WASHINGTON RD STE 202, Mequon, WI 53092

Other Names 1

Former Name (1)Kristine Marie Burton

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine Marie Amdor Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517487812
PECOS Enrollment IDI20250217002383
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristine Amdor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Social Worker (Clinical)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Psychologist
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Social Worker (Clinical)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092
Counselor (Professional)
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092

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 Kristine Amdor's NPI number?

The NPI number for Kristine Amdor is 1225641640. It was assigned to this individual provider in the NPPES registry on August 25, 2020. The provider is also known as Kristine Marie Burton.

Where is Kristine Amdor located?

Kristine Amdor practices at 11518 N Port Washington Rd Ste 202, Mequon, WI 53092. The listed phone number is (855) 443-1595.

What is Kristine Amdor's specialty?

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

Is Kristine Amdor enrolled in Medicare?

Yes. Kristine Amdor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristine Amdor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Amdor reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Amdor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Amdor accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Kristine Amdor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Amdor was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.