AMANDA LUDLOW LPC
NPI 1134761968
Counselor - Professional in Spring Lake, MI

Q: What is Amanda Ludlow's NPI number?

The NPI number for Amanda Ludlow is 1134761968. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Q: What is Amanda Ludlow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Ludlow was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2019PECOS Enrolled

17325 VAN WAGONER RD, SPRING LAKE, MI 49456(616) 847-5145 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2024, Dec 12, 2022, Oct 18, 2021 and 2 more (5 updates tracked since 2019).

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About Amanda Ludlow Lpc NPPES

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

AMANDA LUDLOW LPC (NPI 1134761968) is an individual professional provider in Spring Lake, Michigan, licensed in Michigan (6401222730) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1134761968

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMANDA LUDLOWCredential: LPC

Location Address17325 VAN WAGONER RDSpring Lake, MI 49456-9702

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 847-5145

Sole ProprietorNo

Enumeration DateOctober 14, 2019

Last NPPES UpdateJanuary 2, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2024

✔ NPI 1134761968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401222730

Also ListedPsychologistTaxonomy 103T00000X

17325 VAN WAGONER RD, Spring Lake, MI 49456

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Secondary Practice Locations 3

Location 111 N Maple StGrant, MI 49327-7900 · Phone (231) 834-0444 · Fax (231) 834-0200

Location 2300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 455-5000

Location 3331 E State Rd Rm N8Grant, MI 49327-8504 · Phone (231) 834-2376 ext. 5485 · Fax (231) 834-5186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Amanda Ludlow 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 16

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

LINDA ANN JOHNSON LCSW, LMSW

Social Worker (Clinical)