AMANDA KAYE HIETPAS
NPI 1669807855
Counselor - Mental Health in Kimberly, WI

Active since September 06, 2013
1119 W KENNEDY AVE, KIMBERLY, WI 54136(920) 470-0754 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2020, Jan 7, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Amanda Kaye Hietpas NPPES

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

AMANDA KAYE HIETPAS (NPI 1669807855) is an individual mental health provider in Kimberly, Wisconsin, licensed in Wisconsin (7638-125) and active in the NPI registry since September 2013. She maintains a secondary practice location in Antioch.

NPPES Registry Identity

NPI1669807855
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA KAYE HIETPAS
Location Address1119 W KENNEDY AVEKimberly, WI 54136-2214
Mailing Address1119 W Kennedy AveKimberly, WI 54136-2214 · (920) 470-0754
Sole ProprietorNo
Enumeration DateSeptember 6, 2013
Last NPPES UpdateFebruary 3, 20203 updates tracked since enumeration
NPI 1669807855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WI · 7638-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1119 W KENNEDY AVE, Kimberly, WI 54136

Secondary Practice Location 1

Location 13707 Sunset LnAntioch, CA 94509-6101 · Phone (925) 522-0124

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Counselor (Professional)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Counselor (Professional)
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Counselor (Mental Health)
1119 W KENNEDY AVE, STE A
KIMBERLY, WI 54136
Clinic/Center (Adolescent and Children Mental Health)
1119 W KENNEDY AVE, STE A
KIMBERLY, WI 54136
Counselor (Mental Health)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136
Social Worker
1119 W KENNEDY AVE
KIMBERLY, WI 54136
Social Worker (Clinical)
1119 W KENNEDY AVE, SUITE A
KIMBERLY, WI 54136

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 Hietpas's NPI number?

The NPI number for Amanda Hietpas is 1669807855. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Amanda Hietpas located?

Amanda Hietpas practices at 1119 W Kennedy Ave, Kimberly, WI 54136. The listed phone number is (920) 470-0754.

What is Amanda Hietpas's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Hietpas was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.