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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Michelle Waidelich Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Waidelich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sparta, MI 49345
- Reassigned Medicare billing, Michigan enrollment
- 23 clinicians in this Medicare group
Nunica, MI 49448
- Reassigned Medicare billing, Michigan enrollment
- 31 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.
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.
Which organizations bill Medicare for Amanda Waidelich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Waidelich reassigns Medicare benefits to 2 organizations: Hope Network West Michigan (Sparta, MI) and Hope Network Behavioral Health Services (Nunica, MI). Each 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 Waidelich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Waidelich accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer 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 13 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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hope Network West Michigan (NPI 1679558670, Sparta, MI); Hope Network Behavioral Health Services (NPI 1043295934, Nunica, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1700375615) · Data from the CMS NPPES public registry.