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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA KOENNICKE, MA

Active Sole Proprietor

AMANDA KOENNICKE, MA is a Mental Health Counselor healthcare provider located in DERBY, Vermont. NPI 1982573606 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · DERBY, VT

Registration Details

NPI Number
1982573606
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2025 (0.64024097142425 yrs)
Last Updated
Oct 31, 2025
License
097.0133085 (VT)
Sole Proprietor
Yes

Practice Information

Address
53 CROSS ROAD
DERBY, VT, 05829
Browse VT providers · Browse ZIP 05829
Phone
8024877801
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in DERBY, VT

Name Credential NPI
TONY J GRAVELINE LADC 1023316494
CHERYL A BOWEN LADC, LCMHC 1851738546
JANE POMPEO LCMHC 1831519321
BRENDA TIGHE 1861804833
ASHLEY SEVIGNY 1366845182
KRISTEN ELIZABETH WATSON LCMHC 1447719158
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.