Amanda Nicole Walma, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017120 Issued in MI

Practice address

769 Sun Stone Dr SW
Byron Center, MI 49315-8396

Phone

(616) 307-7509

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aw Collective LLC

  • Professional Counselor
  • Hudsonville, MI
  • NPI 1639023237
  NPD Authorized official
• Grand Rapids Counseling and Consultation

  • Professional Counselor
  • Byron Center, MI
  • NPI 1306554282
  NPD
• Grand Rapids Counseling and Consultation LLC

  • Counselor
  • Byron Center, MI
  • NPI 1205544087
  NPD

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1043674807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 RIVINGTON DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267761",
            "telephone_number": "616-699-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 SUN STONE DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158396",
            "telephone_number": "616-307-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALMA",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "2267120336",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Vostad, DPT
• Brittney Lee Wagenveld, LMSW
• Walgreen Co
• Huyen Walker
• Susan Clare Walker, RN
• Sharon Wassenar, LPC
• Carlos Orval Weiss, MD
• Marion G Wendt, NP
• West Coast Counseling LLC
• West in Progress

• Professional Counselor in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.