AMY PRADNA-WAUGAMAN LPC, LLMFT
NPI 1427763465
Counselor - Professional in Portage, MI

Q: What is Amy Pradna-waugaman's NPI number?

The NPI number for Amy Pradna-waugaman is 1427763465. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Amy Pradna-waugaman's specialty?

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

Active since January 13, 2023PECOS Enrolled

6070 NEWPORT RD, PORTAGE, MI 49002(269) 409-3000(269) 366-4004 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amy Pradna-waugaman Lpc, Llmft NPPES

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

AMY PRADNA-WAUGAMAN LPC, LLMFT (NPI 1427763465) is an individual professional provider in Portage, Michigan, licensed in Michigan (6401225130) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427763465

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMY PRADNA-WAUGAMANCredential: LPC, LLMFT

Location Address6070 NEWPORT RDPortage, MI 49002-9234

Mailing Address6070 Newport RdPortage, MI 49002-9234 · (269) 409-3000 · Fax (269) 366-4004

Phone(269) 409-3000

Fax(269) 366-4004

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 13, 2023

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1427763465 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 · 6401225130

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4151001086 (MI)

6070 NEWPORT RD, Portage, MI 49002

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Oscar Insurance Company, Priority 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)

Amy Pradna-waugaman Lpc, Llmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113420712

PECOS Enrollment IDI20250910003680

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 7

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

CRAIG BOLTHOUSE LLMSW

Counselor (Mental Health)