MRS. AMANDA JOY HOLMBERG LMFT
NPI 1972866507
Marriage & Family Therapist in Plymouth, MN

Q: What is Amanda Holmberg's NPI number?

The NPI number for Amanda Holmberg is 1972866507. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Amanda Holmberg's specialty?

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

Q: Is Amanda Holmberg enrolled in Medicare?

No. Amanda Holmberg has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Holmberg was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 19, 2012Opted out of Medicare · through Jan 2, 2028

3535 PLYMOUTH BLVD # 3535, PLYMOUTH, MN 55447(651) 401-5010 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Amanda Joy Holmberg Lmft NPPES

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

MRS. AMANDA JOY HOLMBERG LMFT (NPI 1972866507) is an individual marriage & family therapist in Plymouth, Minnesota, licensed in Minnesota (2382) and active in the NPI registry since June 2012. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1972866507

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. AMANDA JOY HOLMBERGCredential: LMFT

Location Address3535 PLYMOUTH BLVD # 3535Plymouth, MN 55447-1385

Mailing Address3535 Plymouth Blvd Ste 110Plymouth, MN 55447-1393 · (651) 401-5010

Phone(651) 401-5010

Sole ProprietorYes

Enumeration DateJune 19, 2012

Last NPPES UpdateFebruary 20, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1972866507 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 MN · 2382

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.

3535 PLYMOUTH BLVD # 3535, Plymouth, MN 55447

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Amanda Joy Holmberg Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024

Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Holmberg's NPI number?

The NPI number for Amanda Holmberg is 1972866507. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Amanda Holmberg located?

Amanda Holmberg practices at 3535 Plymouth Blvd # 3535, Plymouth, MN 55447. The listed phone number is (651) 401-5010.

What is Amanda Holmberg's specialty?

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

Is Amanda Holmberg enrolled in Medicare?

No. Amanda Holmberg has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Holmberg was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.