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

Mark Richard Amundsen, DMIN

Individual provider Marriage & Family Therapist · NPI 1053404665

Mark Richard Amundsen, DMIN is a Marriage & Family Therapist in Glendale, Wisconsin. Licensed in Washington and Wisconsin. Registered with an NPI since 2006.

Licensed in
WA, WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

5650 N Greenbay Ave
Glendale, WI 53209
Phone: (262) 789-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4127-125 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LH00009180 (WA)

Record details

NPI number1053404665
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 14, 2022
Certification dateJuly 1, 2022
Mailing address5650 N Greenbay Ave, Glendale, WI 53209

Other providers in Glendale