IndividualActive
Amanda Vaske, MA, LMFT
NPI 1063696300 · Marriage & Family Therapist · White Bear Lake, MN
Provider details
- NPI number
- 1063696300
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MA, LMFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1770 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1310 Highway 96 E Ste 211
White Bear Lake, MN 55110-3619
Phone: (651) 329-1266
Fax: (651) 846-5312
Street-level locationGet directions
Mailing address
1310 Highway 96 E Ste 211
White Bear Lake, MN 55110-3619
Additional practice locations (1)
- 2103 County Road D E Ste aMaplewood, MN 55109-5357Phone: (651) 329-1266Fax: (651) 846-5312
Registry dates
- Enumerated
- 2007-12-21
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.