Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Koshollek, LPC-IT

Individual provider Counselor · NPI 1477346088

Amanda Koshollek, LPC-IT is a Counselor in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
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Practice location Address checks out

1717 N Stoughton Rd
Madison, WI 53704-2605
Phone: (608) 838-8999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 8401-226 (WI)

Record details

NPI number1477346088
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

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