Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Apr 23, 2024, Feb 5, 2024 and 3 more (6 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
Fax(920) 403-8209
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 12, 2017
Last NPPES UpdateSeptember 29, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 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

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

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

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.

Medicare Billing Reassignment

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

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 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.

Family Medicine
1881 CHICAGO ST
DE PERE, WI 54115
Internal Medicine
1881 CHICAGO ST
DEPERE, WI 54115
Internal Medicine (Allergy & Immunology)
1881 CHICAGO ST
DE PERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pediatrics
1881 CHICAGO ST
DE PERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pediatrics
1881 CHICAGO ST
DEPERE, WI 54115
Pharmacy
1881 CHICAGO ST
DE PERE, WI 54115

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.

Which organization bills Medicare for Amanda Cardinal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Cardinal reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, 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 Amanda Cardinal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Cardinal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 3 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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.