Amanda J Groll, LPC
Counselor, Professional in Sheboygan, WI. Individual provider (NPI-1).
NPI number1134097645
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1134097645
- Entity type
- Individual (NPI-1)
- Name
- Amanda J Groll
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2025
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 8628-125 | WI | Yes |
Other names
- Amanda J Farrar (Former Name)
Practice location
1721 Saemann AveSheboygan, WI 53081-2342
Phone 920-783-6633 · Fax 920-783-6392
Mailing address
Po Box 959Sheboygan, WI 53082-0959
Phone 920-783-6633 · Fax 920-783-6392
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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