Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AMANDA J BYOM ED. D., MS, LPC, SAC
NPI 1497296511
Counselor - Professional in Sparta, WI

Active since March 09, 2017PECOS EnrolledAccepts Medicare Assignment
402 S BLACK RIVER ST STE 125, SPARTA, WI 54656(608) 501-1189(888) 928-1124 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Oct 23, 2020, May 23, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Amanda J Byom Ed. D., Ms, Lpc, Sac NPPES

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

DR. AMANDA J BYOM ED. D., MS, LPC, SAC (NPI 1497296511) is an individual professional provider in Sparta, Wisconsin, licensed in Wisconsin (6606-125) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497296511
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. AMANDA J BYOMCredential: ED. D., MS, LPC, SAC
Location Address402 S BLACK RIVER ST STE 125Sparta, WI 54656-2043
Mailing Address802 Terry CtSparta, WI 54656-8806
Fax(888) 928-1124
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 9, 2017
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1497296511 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 WI · 6606-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17434-130 (WI), 16419-131 (WI)
402 S BLACK RIVER ST STE 125, Sparta, WI 54656

Other Names 1

Former Name (1)Amanda Jean Falkers

Other Identifiers 3

Other1750980306Agency Npi Number
Other13979430Caqh
Medicaid100065211WI

Accepted 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

Dr. Amanda J Byom Ed. D., Ms, Lpc, Sac 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 ID7416449830
PECOS Enrollment IDI20251124001310
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 Byom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
402 S BLACK RIVER ST STE 125
Sparta, WI 54656
  • Reassigned Medicare billing, Wisconsin enrollment

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

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
402 S BLACK RIVER ST STE 125
SPARTA, WI 54656
Counselor (Professional)
402 S BLACK RIVER ST STE 125
SPARTA, WI 54656
Community/Behavioral Health
402 S BLACK RIVER ST STE 125
SPARTA, WI 54656
Counselor (Mental Health)
402 S BLACK RIVER ST STE 125
SPARTA, WI 54656

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 Byom's NPI number?

The NPI number for Amanda Byom is 1497296511. It was assigned to this individual provider in the NPPES registry on March 9, 2017. The provider is also known as Amanda Jean Falkers.

Where is Amanda Byom located?

Amanda Byom practices at 402 S Black River St Ste 125, Sparta, WI 54656. The listed phone number is (608) 501-1189.

What is Amanda Byom's specialty?

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

Is Amanda Byom enrolled in Medicare?

Yes. Amanda Byom 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 Byom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Byom reassigns Medicare benefits to Aj Falkers Counseling & Consulting Services, LLC (Sparta, WI). 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 Byom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Byom accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz, Security Health Plan and UnitedHealthcare list Amanda Byom 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 Byom was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.