AMANDA J KNOLLENBERG LMFT
NPI 1891199253
Marriage & Family Therapist in Madison, WI

Q: What is Amanda Knollenberg's NPI number?

The NPI number for Amanda Knollenberg is 1891199253. It was assigned to this individual provider in the NPPES registry on October 14, 2014. The provider is also known as Amanda Blimes.

Q: What is Amanda Knollenberg's specialty?

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

Active since October 14, 2014PECOS EnrolledAccepts Medicare Assignment

7102 MINERAL POINT RD, MADISON, WI 53717(608) 232-3171(608) 262-9246 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2019, Oct 5, 2018, Sep 2, 2016 (3 updates tracked since 2016).

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About Amanda J Knollenberg Lmft NPPES

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

AMANDA J KNOLLENBERG LMFT (NPI 1891199253) is an individual marriage & family therapist in Madison, Wisconsin, licensed in Wisconsin (1093) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891199253

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA J KNOLLENBERGCredential: LMFT

Location Address7102 MINERAL POINT RDMadison, WI 53717-1706

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 232-3171

Fax(608) 262-9246

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 14, 2014

Last NPPES UpdateAugust 22, 20193 updates tracked since enumeration

✔ NPI 1891199253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WI · 1093

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.

7102 MINERAL POINT RD, Madison, WI 53717

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Other Names 1

Other Name (5)Amanda Blimes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 J Knollenberg Lmft 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 ID3870936511

PECOS Enrollment IDI20240208004447

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.

DANALYN K RAYNER M.D.

Family Medicine