Mark Amundsen, DMIN

NPI: 1053404665

Mark Amundsen, DMIN

Q: What is Mark Amundsen's NPI number?

Mark Amundsen's NPI number is 1053404665, a unique 10-digit identifier issued by CMS.

Q: What does Mark Amundsen specialize in?

Mark Amundsen specializes in Marriage & Family Therapist, taxonomy code 106H00000X.

Q: Where does Mark Amundsen practice?

Mark Amundsen practices in Glendale, WI 53209.

Q: When was Mark Amundsen's NPI issued?

Mark Amundsen's NPI was issued on October 2, 2006.

Q: What is Mark Amundsen's provider type?

Mark Amundsen is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderMarriage & Family Therapist

NPI issued: October 2, 2006

Quick Facts

NPI Number

1053404665

TypeIndividual

StatusActive

SpecialtyMarriage & Family Therapist

Taxonomy106H00000X — Marriage & Family Therapist

Phone

(262) 789-1191

StateWI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1053404665)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 2, 2006)

Data source: CMS NPPES

Provider Overview

MARK AMUNDSEN, DMIN is a Marriage & Family Therapist provider based in Glendale, WI who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053404665

Provider TypeIndividual Provider

GenderMale

CredentialDMIN

StatusActive

Enumeration DateOctober 2, 2006

Practice Location

CityGlendale

StateWI

ZIP Code53209

Phone(262) 789-1191

Specialties & Licenses

★ Primary

SpecialtyMarriage & Family Therapist

Taxonomy Code106H00000X

License StateWI

Mailing Address

CityGlendale

StateWI

ZIP Code53209

Phone(262) 789-1191

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1053404665 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053404665for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053404665 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Marriage & Family Therapist

Specialists in Marriage & Family Therapist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Marriage & Family Therapistproviders →

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