Mark Richard Amundsen, DMIN
NPI 1053404665ActiveIndividual· Counselor, Professional· Glendale, WI
Counselor, Professional (DMIN) in Glendale, Wisconsin, licensed in WI and WA, with an NPI issued in October 2006.
Overview
| NPI | 1053404665 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMIN |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Jul 14, 2022 |
| Certified by provider | Jul 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 4127-125 | WI |
| Marriage & Family Therapist | 106H00000X | LH00009180 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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