AMANDA WILLIS-MARTIN LADC
NPI 1265147623
Counselor - Addiction (Substance Use Disorder) in Bemidji, MN
About Amanda Willis-martin Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA WILLIS-MARTIN LADC (NPI 1265147623) is an individual addiction (substance use disorder) provider in Bemidji, Minnesota, licensed in Minnesota (306564) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Amanda Willis-martin Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BEMIDJI, MN 56601
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 Willis-martin's NPI number?
The NPI number for Amanda Willis-martin is 1265147623. It was assigned to this individual provider in the NPPES registry on January 19, 2023.
Where is Amanda Willis-martin located?
Amanda Willis-martin practices at 1705 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-2006.
What is Amanda Willis-martin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Amanda Willis-martin enrolled in Medicare?
Yes. Amanda Willis-martin is registered in the Medicare PECOS enrollment system.
What insurance does Amanda Willis-martin accept?
Health plans from HealthPartners and Sanford Health Plan list Amanda Willis-martin 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 Willis-martin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Amanda Willis-Martin, LADC · NPI 1265147623
Addiction (Substance Use Disorder) provider in Bemidji, Minnesota. Individual provider, active in the CMS NPPES registry since January 19, 2023.
## Identity
- **NPI:** 1265147623 (Entity type: Individual)
- **Enumerated:** January 19, 2023
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 306564 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1705 ANNE ST NW, Bemidji, MN 56601-6151
- **Phone:** (218) 333-2006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265147623) · Data from the CMS NPPES public registry.