AMANDA MICHELLE WAIDELICH LPC
NPI 1700375615
Counselor - Professional in Grand Rapids, MI
About Amanda Michelle Waidelich Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA MICHELLE WAIDELICH LPC (NPI 1700375615) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401012853) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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)
Amanda Michelle Waidelich Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
GRAND RAPIDS, MI 49512
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 Waidelich's NPI number?
The NPI number for Amanda Waidelich is 1700375615. It was assigned to this individual provider in the NPPES registry on May 7, 2018.
Where is Amanda Waidelich located?
Amanda Waidelich practices at 3333 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 726-1958.
What is Amanda Waidelich's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amanda Waidelich enrolled in Medicare?
Yes. Amanda Waidelich is registered in the Medicare PECOS enrollment system.
What insurance does Amanda Waidelich accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Amanda Waidelich 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 Waidelich was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Michelle Waidelich, LPC · NPI 1700375615
Professional provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 7, 2018.
## Identity
- **NPI:** 1700375615 (Entity type: Individual)
- **Enumerated:** May 7, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401012853 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 36TH ST SE, Grand Rapids, MI 49512-2809
- **Phone:** (616) 726-1958
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700375615) · Data from the CMS NPPES public registry.