| Amanda Sass, MA, LPC | |
|
1541 Annex Rd, Jefferson, WI 53549-9803 | |
| (920) 674-3105 | |
| Not Available |
| Full Name | Amanda Sass |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1541 Annex Rd, Jefferson, 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 |
|---|---|---|---|
| 1104572718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8275-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson County | 2264496801 | 16 |
| Entity Name | Jefferson County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Sass, MA, LPC 6759 Northway Apt 3, Greendale, WI 53129-1834 Ph: (414) 322-6309 | Amanda Sass, MA, LPC 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-3105 |
Brittany Long, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Kimberly Miller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Danielle Graham - Heine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Ms. Holly Rae Pagel, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8108 Fax: 920-674-8114 | |
Karlee Mccue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 148 E Milwaukee St Ste 202, Jefferson, WI 53549 Phone: 262-607-2770 | |
Mrs. Amanda Rae Lightner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8197 Fax: 920-674-6113 |