- Practice location
- 53 Cross Road, Derby, VT 05829
- Phone
- 802-487-7801
- Fax
- —
- Last updated
- October 31, 2025
Amanda Koennicke is a Counselor, Mental Health based in Derby, VT. Amanda Koennicke practices in Derby, VT and has the professional credentials of MA. The NPI Number for Amanda Koennicke is 1982573606 and holds a License No. 097.0133085 (VT). The current practice location address for Amanda Koennicke is 53 Cross Road, Derby, VT 05829 and can be reached out via phone at 802-487-7801.
Provider Profile Details
- NPI Number
- 1982573606
- Provider Name
- Amanda Koennicke
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 53 Cross Road, Derby, VT 05829
- Phone Number
- 802-487-7801
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 31, 2025
- Last Update Date
- October 31, 2025
- Certification Date
- October 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 Cross Road
Derby, VT 05829 - City
- Derby
- State
- Vermont
- Zip
- 05829
- Phone Number
- 802-487-7801
Provider Business Mailing Address Details
- Address
- 53 Cross RD
Newport, VT 05855-8856 - City
- Newport
- State
- VT
- Zip
- 05855-8856
- Phone Number
- 802-487-7801
License Information
- License Number
- 097.0133085
- License State
- VT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Derby, VT
View all Counselor, Mental Health providers in Derby →- Aaron BillingsCounselor, Mental Health · NPI 1508428665
- Cheryl A Bowen, LADC, LCMHCCounselor, Mental Health · NPI 1851738546
- Jane Pompeo, LCMHCCounselor, Mental Health · NPI 1831519321
- Mary-Lynn GareyCounselor, Mental Health · NPI 1881405892
- Mr. Chad C Patten, LCMHCCounselor, Mental Health · NPI 1194449603
- Mrs. Emily L Jankowski, MS, LCMHCCounselor, Mental Health · NPI 1184999831
Frequently Asked Questions
What is the NPI number of Amanda Koennicke, MA?
The NPI number of Amanda Koennicke, MA is 1982573606. It was assigned on October 31, 2025 and is currently active in the NPPES registry.
What is the specialty of Amanda Koennicke, MA?
Amanda Koennicke, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 097.0133085.
Where does Amanda Koennicke, MA practice?
The practice location is 53 Cross Road, Derby, VT 05829. The office can be reached at 802-487-7801 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982573606 directly on the NPPES registry website.