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AMANDA A GOUGH MLSW
NPI 1174172159
Social Worker - Clinical in Traverse City, MI

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment
3298 VETERANS DR, TRAVERSE CITY, MI 49684(231) 715-8466(231) 943-2263 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2024, Oct 1, 2019, Sep 11, 2019 (3 updates tracked since 2019).

About Amanda A Gough Mlsw NPPES

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

AMANDA A GOUGH MLSW (NPI 1174172159) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801105682) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174172159
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA A GOUGHCredential: MLSW
Location Address3298 VETERANS DRTraverse City, MI 49684-4725
Mailing Address3298 Veterans DrTraverse City, MI 49684-4725 · (231) 715-8466 · Fax (231) 943-2263
Phone(231) 715-8466
Fax(231) 943-2263
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 11, 2019
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1174172159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801105682
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3298 VETERANS DR, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 1

Medicaid1174172159MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Amanda A Gough Mlsw 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 ID1456895200
PECOS Enrollment IDI20240703001527
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 Gough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adaptive Counseling And Case Management, LLC
Same address
Mental Health (Including Community Mental Health Center)
3298 VETERANS DR STE 1
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1588906119 (317) 158-4662

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MRS. LISA LEDERER LMSW
Social Worker (Clinical)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
BENJAMIN WHIPPLE LLPC
Counselor (Mental Health)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
KEVIN MARK DEBRUYN LMSW
Social Worker (Clinical)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
MS. JENNA LAUREN PARKER LLMSW
Social Worker (Clinical)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
CARI J MASON LLMSW
Social Worker
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
WHITNEY MICHELE KRAUSE LLMSW
Social Worker
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466
MELISSA RUBY JOHNSON MA, LLPC
Counselor (Professional)
3298 VETERANS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-8466

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 Gough's NPI number?

The NPI number for Amanda Gough is 1174172159. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Amanda Gough located?

Amanda Gough practices at 3298 Veterans Dr, Traverse City, MI 49684. The listed phone number is (231) 715-8466.

What is Amanda Gough's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Gough enrolled in Medicare?

Yes. Amanda Gough 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 Amanda Gough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gough reassigns Medicare benefits to Adaptive Counseling And Case Management, LLC (Traverse City, MI). 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 Gough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Gough accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Amanda Gough 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 Gough was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.