AMY WEIDERT MS, LPC
NPI 1053029603
Counselor - Professional in Madison, WI

Active since November 14, 2022PECOS Enrolled
122 W WASHINGTON AVE STE 630, MADISON, WI 53703(608) 236-4460 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy Weidert Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY WEIDERT MS, LPC (NPI 1053029603) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (4494) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053029603
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY WEIDERTCredential: MS, LPC
Location Address122 W WASHINGTON AVE STE 630Madison, WI 53703-2758
Mailing Address962 Lawrence StMadison, WI 53715-2039 · (608) 395-9243
Sole ProprietorNo
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 13, 2022
NPI 1053029603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 4494
122 W WASHINGTON AVE STE 630, Madison, WI 53703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Weidert Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
122 W WASHINGTON AVE STE 630
MADISON, WI 53703
Counselor (Mental Health)
122 W WASHINGTON AVE STE 630
MADISON, WI 53703
Nurse Practitioner (Psychiatric/Mental Health)
122 W WASHINGTON AVE STE 630
MADISON, WI 53703
Social Worker (Clinical)
122 W WASHINGTON AVE STE 630
MADISON, WI 53703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053029603, enumerated as an "individual" on November 14, 2022.

The provider is located at 122 W WASHINGTON AVE STE 630 MADISON, WI 53703 and the phone number is (608) 236-4460.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.