| Amanda Donath, LPC | |
|
712 Summit Ave Ste 714, Oconomowoc, WI 53066-3827 | |
| (262) 226-2006 | |
| (262) 226-2462 |
| Full Name | Amanda Donath |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 712 Summit Ave Ste 714, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043611205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5382-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amanda Donath Psychological Services S C | 6406248822 | 7 |
| Entity Name | Amanda Donath Psychological Services S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356961775 PECOS PAC ID: 6406248822 Enrollment ID: O20220116000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Donath, LPC 712 Summit Ave Ste 714, Oconomowoc, WI 53066-3827 Ph: (262) 226-2006 | Amanda Donath, LPC 712 Summit Ave Ste 714, Oconomowoc, WI 53066-3827 Ph: (262) 226-2006 |
Theresa M Kerner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Forest St, Oconomowoc, WI 53066 Phone: 262-661-1759 | |
Ms. M Fay Sanders, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066 Phone: 262-542-3255 Fax: 262-567-5451 | |
Kelly Muston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066 Phone: 262-789-1191 | |
Rose Worden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-569-5515 | |
Michelle J Damm, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 | |
Kayla Housh-kornowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-646-1865 |