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AMANDA WALSTEDT LPC, LCADC
NPI 1699598409
Counselor - Professional in West Orange, NJ

Active since November 01, 2024PECOS Enrolled
80 MAIN ST STE 500, WEST ORANGE, NJ 07052(973) 964-5769 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Walstedt Lpc, Lcadc NPPES

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

AMANDA WALSTEDT LPC, LCADC (NPI 1699598409) is an individual professional provider in West Orange, New Jersey, licensed in New Jersey (37PC00987400) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699598409
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA WALSTEDTCredential: LPC, LCADC
Location Address80 MAIN ST STE 500West Orange, NJ 07052-5414
Mailing Address97 Bleecker St Apt 11Jersey City, NJ 07307-3400
Phone(973) 964-5769
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1699598409 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 NJ · 37PC00987400
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00381100 (NJ)
80 MAIN ST STE 500, West Orange, NJ 07052
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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 Walstedt Lpc, Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860985629
PECOS Enrollment IDI20251202000255
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.

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 Walstedt's NPI number?

The NPI number for Amanda Walstedt is 1699598409. It was assigned to this individual provider in the NPPES registry on November 1, 2024.

Where is Amanda Walstedt located?

Amanda Walstedt practices at 80 Main St Ste 500, West Orange, NJ 07052. The listed phone number is (973) 964-5769.

What is Amanda Walstedt's specialty?

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

Is Amanda Walstedt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Walstedt was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.