Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Koennicke, MA

Individual provider Mental Health Counselor · NPI 1982573606

Amanda Koennicke, MA is a Mental Health Counselor in Derby, Vermont. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

53 Cross Rd
Derby, VT 05829
Phone: (802) 487-7801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 097.0133085 (VT)

Record details

NPI number1982573606
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 15, 2025

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