Individual provider Active NPI

Amanda Weston Caillier, LPCC

  • Professional Counselor
  • Alvarado, MN
National Provider Identifier
1063168250
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1174-1-15-22-569 Issued in ND
Practice address
480 Parral Ave
Alvarado, MN 56710-4056
Phone
(701) 412-1253
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1174-1-15-22-569 ND Primary
Mental Health Counselor 101YM0800X 1174-1-15-22-569 ND

Addresses

Primary practice location

480 Parral Ave
Alvarado, MN 56710-4056

Mailing address

480 Parral Ave
Alvarado, MN 56710-4056
Phone (701) 412-1253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250210000252 ND Practitioner - Mental Health Counselor 2062942857 Reassigns benefits to 2 organizations
I20251105002170 MN Practitioner - Mental Health Counselor 2062942857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4914MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 4, 2025 Accepting new patients
Solutions Counseling Services, Inc. CurrentSince Nov 30, 2024 Accepting new patients
Hart to Heart Counseling PLLC PastSince Feb 27, 2022 Accepting new patients
Pediatric Therapy Partners, Inc. PastSince Aug 18, 2024 Accepting new patients
Red Door Pediatric Therapy, Inc Mental Health PastSince Dec 13, 2024 Accepting new patients

Locations

115 5th St N
Breckenridge, MN 56520
Phone (218) 643-9330

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

3369 39th St S
Ste 2
Fargo, ND 58104
Phone (701) 367-4271

2810 19th Ave S
Grand Forks, ND 58201
Phone (701) 222-3175

2860 19th Ave S
Grand Forks, ND 58201
Phone (218) 643-9330

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1063168250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PARRAL AVE",
            "city": "ALVARADO",
            "state": "MN",
            "postal_code": "567104056",
            "telephone_number": "701-412-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PARRAL AVE",
            "city": "ALVARADO",
            "state": "MN",
            "postal_code": "567104056",
            "telephone_number": "701-412-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON CAILLIER",
        "first_name": "AMANDA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1174-1-15-22-569",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1174-1-15-22-569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.