Amanda Lee Westerlund, IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2491-124 Issued in WI

Practice address

15300 Watertown Plank Rd Ste 106
Elm Grove, WI 53122-2348

Phone

(414) 807-8934

NPI assigned

Jun 18, 2024

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

Enrolled in WI

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 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Body Program LLCGroup PAC ID 4183756877, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Body Program LLC

  • Professional Counselor
  • Juneau, WI
  • NPI 1205084118
  Medicare reassignment Care Compare group NPD
• Oshkosh Marriage and Family Therapy Center, LLC

  • Marriage & Family Therapist
  • Oshkosh, WI
  • NPI 1184494551
  NPD

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1598508319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 KENWOOD DR STE 102",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521134",
            "telephone_number": "630-965-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WATERTOWN PLANK RD STE 106",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222348",
            "telephone_number": "414-807-8934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4465 N Oakland Ave Unit 310",
            "address_purpose": "LOCATION",
            "city": "Shorewood",
            "state": "WI",
            "postal_code": "532111662",
            "country_code": "US",
            "telephone_number": "414-807-8934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1476 Kenwood Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Menasha",
            "state": "WI",
            "postal_code": "549521134",
            "country_code": "US",
            "telephone_number": "920-215-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTERLUND",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2491-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Weaver, LCSW
• Weber Physical Therapy, LLC
• Anna Sylvia Weber, PSYD
• Kyle P Weber, PT
• Robyn Michelle Welk-Richards, PHD, MSW, LCSW, CEDS
• Whyoga Inc (WHYoga Physical Therapy)
• Luciana Miranda Wiltse, DDS, MS
• Nancy Winston, LPC-IT
• Wisconsin Access National, LLC
• Wisconsin Vision, LLC

• Marriage & Family Therapist in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.