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AMANDA J GROLL LPC
NPI 1134097645
Counselor - Professional in Sheboygan, WI

Active since October 27, 2025PECOS Enrolled
1721 SAEMANN AVE, SHEBOYGAN, WI 53081(920) 783-6633(920) 783-6392 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda J Groll Lpc NPPES

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

AMANDA J GROLL LPC (NPI 1134097645) is an individual professional provider in Sheboygan, Wisconsin, licensed in Wisconsin (8628-125) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134097645
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA J GROLLCredential: LPC
Location Address1721 SAEMANN AVESheboygan, WI 53081-2342
Mailing AddressPo Box 959Sheboygan, WI 53082-0959 · (920) 783-6633 · Fax (920) 783-6392
Phone(920) 783-6633
Fax(920) 783-6392
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1134097645 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 · 8628-125
1721 SAEMANN AVE, Sheboygan, WI 53081
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda J Farrar

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda J Groll Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092207266
PECOS Enrollment IDI20251125001304
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 Amanda Groll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeshore Community Health Care, Inc
0.1 mi
Federally Qualified Health Center (FQHC)
1721 SAEMANN AVENUE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 46 clinicians in this Medicare group
NPI 1144698549 (920) 783-6633

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.

CYNTHIA A BAUS RDH
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
ERIN MEYER
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
ANGELIQUE DAMBRUCH LPC
Counselor (Professional)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 322-6770
CHRISTA WILSON PHARMD
Pharmacist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
MR. CURTIS M SPAULDING RDH
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
CHERYL VAN ELLS
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
KAYLA JOHNSON LCSW
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
SHELBY KUHN LCSW
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633

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 Amanda Groll's NPI number?

The NPI number for Amanda Groll is 1134097645. It was assigned to this individual provider in the NPPES registry on October 27, 2025. The provider is also known as Amanda J Farrar.

Where is Amanda Groll located?

Amanda Groll practices at 1721 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 783-6633.

What is Amanda Groll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Groll enrolled in Medicare?

Yes. Amanda Groll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Groll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Groll reassigns Medicare benefits to Lakeshore Community Health Care, Inc (Sheboygan, WI). 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 Amanda Groll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Groll accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Quartz and 1 other insurer list Amanda Groll 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 Amanda Groll was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.