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AMANDA CONDIC
NPI 1336657949
Counselor in Waterford, MI

Active since January 17, 2018PECOS Enrolled
1370 N OAKLAND BLVD STE 105, WATERFORD, MI 48327(248) 666-8870(248) 666-5023 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 15, 2018, Jan 17, 2018 (2 updates tracked since 2018).

About Amanda Condic NPPES

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

AMANDA CONDIC (NPI 1336657949) is an individual counselor in Waterford, Michigan, licensed in Michigan (6401016923) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336657949
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMANDA CONDIC
Location Address1370 N OAKLAND BLVD STE 105Waterford, MI 48327-1572
Mailing Address1370 N Oakland Blvd Ste 105Waterford, MI 48327-1572 · (248) 666-8870 · Fax (248) 666-5023
Phone(248) 666-8870
Fax(248) 666-5023
Sole ProprietorNo
Enumeration DateJanuary 17, 2018
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
✔ NPI 1336657949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401016923
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1370 N OAKLAND BLVD STE 105, Waterford, MI 48327
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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, McLaren Health Plan Community 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 Condic 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 3

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

MIRISSA LYNNE GAGNIER
Student in an Organized Health Care Education/Training Program
1370 N OAKLAND BLVD STE 105
WATERFORD, MI 48327
Oakland County (248) 666-8870
DANIEL THOMAS COLFER
Student in an Organized Health Care Education/Training Program
1370 N OAKLAND BLVD STE 105
WATERFORD, MI 48327
Oakland County (248) 666-8870
JASON POBLACION
Counselor (Professional)
1370 N OAKLAND BLVD STE 105
WATERFORD, MI 48327
Oakland County (248) 666-8870

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 Condic's NPI number?

The NPI number for Amanda Condic is 1336657949. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Amanda Condic located?

Amanda Condic practices at 1370 N Oakland Blvd Ste 105, Waterford, MI 48327. The listed phone number is (248) 666-8870.

What is Amanda Condic's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Amanda Condic enrolled in Medicare?

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

What insurance does Amanda Condic accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Amanda Condic 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 Condic was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.