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AMANDA WILSON
NPI 1972491199
Peer Specialist in Grand Rapids, MI

Active since June 26, 2025
260 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-2700 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Wilson NPPES

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

AMANDA WILSON (NPI 1972491199) is an individual peer specialist in Grand Rapids, Michigan and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1972491199
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA WILSON
Location Address260 JEFFERSON AVE SEGrand Rapids, MI 49503-4597
Mailing Address2557 Fox Run Rd Sw Apt 1Wyoming, MI 49519-4121 · (616) 690-7379
Phone(616) 685-2700
Sole ProprietorNo
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1972491199 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.
260 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOUMYA CHOWDARY MADALA M.D.
Internal Medicine (Sleep Medicine)
260 JEFFERSON AVE SE, STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 685-6330
REBECCA ANN LUDERS NP-C
Nurse Practitioner (Family)
260 JEFFERSON AVE SE, 206
GRAND RAPIDS, MI 49503
Kent County (616) 685-5430
WILLIAM HENRY BAER II M.D.
Internal Medicine
260 JEFFERSON AVE SE, SUITE 115
GRAND RAPIDS, MI 49503
Kent County (616) 685-3100
AMANDA GRAVES LLMSW
Social Worker
260 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-2700
EMILY TERESA SOTO PSS
Peer Specialist
260 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3903
JOHN J STEPANOVICH DDS
Dentist
260 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-1267
GABRIELLE GRACE LMSW
Social Worker (Clinical)
260 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
LISA MARIE ALFRIEND
Social Worker (Clinical)
260 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

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 Wilson's NPI number?

The NPI number for Amanda Wilson is 1972491199. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Amanda Wilson located?

Amanda Wilson practices at 260 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-2700.

What is Amanda Wilson'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 Wilson was last updated on June 26, 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.