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

Amy K Petersdorf, MA

Individual provider Professional Counselor · NPI 1235434176

Amy K Petersdorf, MA is a Mental Health Counselor in Wauwatosa, Wisconsin. Qualified in 2009, 17 years ago. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone: (414) 777-0740
Fax: (414) 777-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4667-125 (WI)

Record details

NPI number1235434176
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJanuary 25, 2011
Last updated in NPPESFebruary 7, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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