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AMANDA R CARDINAL LPC
NPI 1265969950
Counselor - Mental Health in De Pere, WI

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
1881 CHICAGO ST, DE PERE, WI 54115(920) 278-1294(920) 403-8209 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2024, Feb 5, 2024, May 19, 2022 and 2 more (5 updates tracked since 2017).

About Amanda R Cardinal Lpc NPPES

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

AMANDA R CARDINAL LPC (NPI 1265969950) is an individual mental health provider in De Pere, Wisconsin, licensed in Wisconsin (6319) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Bay, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265969950
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA R CARDINALCredential: LPC
Location Address1881 CHICAGO STDe Pere, WI 54115-3770
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 278-1294
Fax(920) 403-8209
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 12, 2017
Last NPPES UpdateJune 29, 20265 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1265969950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 6319
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6319 (WI)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 6319-125 (WI)
1881 CHICAGO ST, De Pere, WI 54115
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Secondary Practice Location 1

Location 1123 N Oakland AveGreen Bay, WI 54303-2831 · Phone (920) 770-4088 · Fax (651) 705-0026

Other Identifiers 1

Medicaid100068903WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda R Cardinal 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 ID1052757515
PECOS Enrollment IDI20240307000918
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.

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.

MANISHA CHATURVEDI MD
Family Medicine
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000
DR. JESUSA S ANDRES-PALINES MD
Internal Medicine
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
DR. ABHILASH R VAISHNAV MD
Internal Medicine (Allergy & Immunology)
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000
DR. JENNIFER L HOYER MD
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
YOLOXOCHITL DIAZ MD
Pediatrics
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8000
DR. INDIRA P ANDHOLE MD
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
DR. RONALD E ROUP MD
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Brown County (920) 403-8000
AURORA PHARMACY INC
Pharmacy
1881 CHICAGO ST
DE PERE, WI 54115
Brown County (920) 403-8050

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 Cardinal's NPI number?

The NPI number for Amanda Cardinal is 1265969950. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Amanda Cardinal located?

Amanda Cardinal practices at 1881 Chicago St, De Pere, WI 54115. The listed phone number is (920) 278-1294.

What is Amanda Cardinal's specialty?

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

Is Amanda Cardinal enrolled in Medicare?

Yes. Amanda Cardinal 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.

What insurance does Amanda Cardinal accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Amanda Cardinal 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 Amanda Cardinal was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.