Amanda Joy Rewa, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401224706 Issued in MI

Practice address

3333 Evergreen Dr NE Ste 210
Grand Rapids, MI 49525-9830

Phone

(231) 577-8284

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1003589565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SPAULDING HILLS CIR SE APT 205",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017920",
            "telephone_number": "231-577-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259830",
            "telephone_number": "231-577-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REWA",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Ann Rettig
• Kristin Marie Rettig
• Karen Marie Reusch, PT
• Revive Pain Solutions Grand Rapids
• Revolution Rehab LLC
• Michelle A. Rewa, ACNP
• Christina Rexford, OD
• Diane Rexford, NP
• Elizabeth Anjali Rexroat, MS/OTR/L
• F Scott Reyburn, MSW LFMT

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.