MEDICARE: AMANDA KRISTINE REAMER LPC-MH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC-MH20349	SD
2	101Y00000X	Counselor	LPC-MH20349	SD

General Provider Information

NPI Number	:	1417388950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA KRISTINE REAMER LPC-MH

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 S LOUISE AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-5981
Country	:	US
Telephone Number	:	605-312-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2013
Last Update Date	:	02/04/2026

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