AMANDA WALSTEDT LPC, LCADC
NPI 1699598409
Counselor - Professional in West Orange, NJ
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Walstedt Lpc, Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Walstedt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Amanda Walstedt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Walstedt reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). 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 Walstedt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 23 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.
# Amanda Walstedt, LPC, LCADC · NPI 1699598409
Professional provider in West Orange, New Jersey. Individual provider, active in the CMS NPPES registry since November 1, 2024.
## Identity
- **NPI:** 1699598409 (Entity type: Individual)
- **Enumerated:** November 1, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00987400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 MAIN ST STE 500, West Orange, NJ 07052-5414
- **Phone:** (973) 964-5769
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699598409) · Data from the CMS NPPES public registry.