1. Home
  2. Directory
  3. Minnesota
  4. Chaska
  5. Counselor
  6. NPI Profile

AMY BURKHOLDER
NPI 1851784722
Counselor in Chaska, MN

Active since March 16, 2015PECOS EnrolledAccepts Medicare Assignment
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318(952) 426-3856(952) 426-3856 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Burkholder NPPES

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

AMY BURKHOLDER (NPI 1851784722) is an individual counselor in Chaska, Minnesota, licensed in Illinois (178.010249) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851784722
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMY BURKHOLDER
Location Address111 HUNDERTMARK RD STE 205NChaska, MN 55318-1586
Mailing Address111 Hundertmark Rd Ste 205nChaska, MN 55318-1586 · (952) 903-1350 · Fax (952) 426-3856
Phone(952) 426-3856
Fax(952) 426-3856
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 16, 2015
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1851784722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178.010249
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
111 HUNDERTMARK RD STE 205N, Chaska, MN 55318
Open in Google Maps ↗

Secondary Practice Locations 2

Location 117729 Kettering TrlLakeville, MN 55044-9354 · Phone (612) 750-2328
Location 212918 63rd Ave NMaple Grove, MN 55369-6001 · Phone (763) 210-9966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Amy Burkholder 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 ID5092167353
PECOS Enrollment IDI20240123000879
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 13

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

LAURA ELIZABETH PEKURI DNP, CNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
THERESA L GUNDERSON PHD
Psychologist (Clinical)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1370
DR. ANASTASIA SULLWOLD RISTAU PHD LP
Psychologist
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
MELISSA GORONI LARSON LICSW
Counselor (Mental Health)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
MEGAN BOYINGTON LICSW
Social Worker (Clinical)
111 HUNDERTMARK RD STE 205N, 212 MEDICAL BUILDING
CHASKA, MN 55318
Carver County (952) 903-1350
KELLY ANN SENESAC MA, LMFT
Marriage & Family Therapist
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350
NATHANIEL MARTIN SHIELDS
Counselor (Professional)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (612) 274-7532
RICHARD TODD PETERSON M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 HUNDERTMARK RD STE 205N
CHASKA, MN 55318
Carver County (952) 903-1350

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 Burkholder's NPI number?

The NPI number for Amy Burkholder is 1851784722. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Amy Burkholder located?

Amy Burkholder practices at 111 Hundertmark Rd Ste 205N, Chaska, MN 55318. The listed phone number is (952) 426-3856.

What is Amy Burkholder's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Amy Burkholder enrolled in Medicare?

Yes. Amy Burkholder 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 Amy Burkholder accept?

Health plans from HealthPartners list Amy Burkholder 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 Amy Burkholder was last updated on January 7, 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.