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AMY LUPSON LPCC
NPI 1073053526
Counselor - Mental Health in Cleveland, OH

Active since March 02, 2017PECOS EnrolledAccepts Medicare Assignment
1744 PAYNE AVE, CLEVELAND, OH 44114(216) 623-6555 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Lupson Lpcc NPPES

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

AMY LUPSON LPCC (NPI 1073053526) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (E.0800337) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1073053526
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY LUPSONCredential: LPCC
Location Address1744 PAYNE AVECleveland, OH 44114-2910
Mailing Address1744 Payne AveCleveland, OH 44114-2910
Phone(216) 623-6555
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 2, 2017
✔ NPI 1073053526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.0800337
1744 PAYNE AVE, Cleveland, OH 44114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Lupson Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355838780
PECOS Enrollment IDI20251021001634
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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Lupson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest General Medical Group, Inc.
9.6 mi
Orthopaedic Surgery
15900 SNOW RD
Brook Park, OH 44142
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1144414871 (216) 676-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MICHAEL SANFORD
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
DANIELLE PECK
Social Worker (Clinical)
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
BRANDON RHONE PETERSON
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
EMILY MARIE GRIMM APRN, MS, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
ADRIAN WILLIAMS
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
MEGAN BRINKER
Social Worker (Clinical)
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 361-8640
GISELA STARNER
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555
DELVON SIMS
Case Manager/Care Coordinator
1744 PAYNE AVE
CLEVELAND, OH 44114
Cuyahoga County (216) 623-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Lupson's NPI number?

The NPI number for Amy Lupson is 1073053526. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Amy Lupson located?

Amy Lupson practices at 1744 Payne Ave, Cleveland, OH 44114. The listed phone number is (216) 623-6555.

What is Amy Lupson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amy Lupson enrolled in Medicare?

Yes. Amy Lupson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Lupson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Lupson reassigns Medicare benefits to Southwest General Medical Group, Inc. (Brook Park, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Lupson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Lupson accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Amy Lupson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Lupson was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.