Amanda Barterian, LPC

Individual provider Active NPI Professional Counselor · Clarkston, MI

NPI 1144913898 · NPPES record last updated May 6, 2026

Key facts

NPI
1144913898
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401226067 (MI)
Practice address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone
(800) 395-3223
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26545 Amercian Dr
Southfield, MI 48034-6115

48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272

8646 Joann Dr
Newport, MI 48166-9367

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260521003829 MI Practitioner - Mental Health Counselor 6103396940 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6401226067MIMDProfessional Counselor
6451023411MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401226067 MI Yes
Professional Counselor 101YP2500X 6451023411 MI
Other Technician 247200000X

Addresses

Primary practice location

6549 Town Center Dr Ste a
Clarkston, MI 48346-4824

Mailing address

6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (800) 395-3223

Other providers in Clarkston, MI

All providers in Clarkston, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.