1. Home
  2. Directory
  3. Michigan
  4. Richmond
  5. Peer Specialist
  6. NPI Profile

AMANDA LYNN BOLOTTA
NPI 1609417146
Peer Specialist in Richmond, MI

Active since October 07, 2019
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Lynn Bolotta NPPES

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

AMANDA LYNN BOLOTTA (NPI 1609417146) is an individual peer specialist in Richmond, Michigan and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1609417146
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA LYNN BOLOTTA
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address1614 Mcpherson StPort Huron, MI 48060-3239 · (810) 941-2711
Phone(810) 392-2167
Sole ProprietorNo
Enumeration DateOctober 7, 2019
Last NPPES UpdateNovember 27, 2023
✔ NPI 1609417146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 STODDARD RD, Richmond, MI 48062
Open in Google Maps ↗

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.

JACOB PATTENAUDE
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATIANNE ROSE MURPHY
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
AUTUMN LYNCH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAY I JOHNSON
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
CORTEZ CODY GILES
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JUSTIN JACOBSON
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. DOMINIC DEWAYNE SMITH
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRSTEN HEIMBACH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

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 Bolotta's NPI number?

The NPI number for Amanda Bolotta is 1609417146. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Amanda Bolotta located?

Amanda Bolotta practices at 400 Stoddard Rd, Richmond, MI 48062. The listed phone number is (810) 392-2167.

What is Amanda Bolotta's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Bolotta was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.