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AMY VREDENBURGH M.A., L.M.F.T.
NPI 1568858470
Marriage & Family Therapist in Cloquet, MN

Active since April 08, 2015
905 STANLEY AVE, CLOQUET, MN 55720(612) 876-6586(218) 585-1586 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2021, Apr 9, 2018 (2 updates tracked since 2018).

About Amy Vredenburgh M.a., L.m.f.t. NPPES

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

AMY VREDENBURGH M.A., L.M.F.T. (NPI 1568858470) is an individual marriage & family therapist in Cloquet, Minnesota, licensed in Minnesota (2962) and active in the NPI registry since April 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568858470
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMY VREDENBURGHCredential: M.A., L.M.F.T.
Location Address905 STANLEY AVECloquet, MN 55720-3186
Mailing Address9450 Sw Gemini Dr, Pmb 14034Beaverton, OR 97008 · (612) 876-6586
Phone(612) 876-6586
Fax(218) 585-1586
Sole ProprietorNo
Enumeration DateApril 8, 2015
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1568858470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 2962
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2962 (MN)
905 STANLEY AVE, Cloquet, MN 55720
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Secondary Practice Locations 2

Location 1199 Coon Rapids Blvd NW, Suite 210Coon Rapids, MN 55433-5831 · Phone (612) 812-8470 · Fax (612) 605-7135
Location 2417 Skyline BlvdCloquet, MN 55720-1164 · Phone (612) 876-6586

Other Identifiers 1

OtherL232112102607MN · Minnesota Liscence

Other Providers at the Same Location NPPES 2

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

MEEHAN MENTAL HEALTH SERVICES
Counselor (Mental Health)
905 STANLEY AVE
CLOQUET, MN 55720
Carlton County (218) 730-7862
SILVER BIRCH THERAPY PLLC
Marriage & Family Therapist
905 STANLEY AVE
CLOQUET, MN 55720
Carlton County (612) 876-6586

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 Amy Vredenburgh's NPI number?

The NPI number for Amy Vredenburgh is 1568858470. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Amy Vredenburgh located?

Amy Vredenburgh practices at 905 Stanley Ave, Cloquet, MN 55720. The listed phone number is (612) 876-6586.

What is Amy Vredenburgh's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Amy Vredenburgh was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.