Amy Wilson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106876 Issued in MI

Practice address

12930 James St Ste 140
Holland, MI 49424-8324

Phone

(616) 218-2427

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 7

Medicare fee-for-service enrollment

Enrolled in MI

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

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Rise to Renew PLLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1891661948
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1861015281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11072 RILEY ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494646857",
            "telephone_number": "616-218-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 JAMES ST STE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248324",
            "telephone_number": "616-218-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11335 James St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248627",
            "country_code": "US",
            "telephone_number": "616-396-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson@bethany.org",
            "affiliation": "Y",
            "affiliationName": "Bethany Christian Services, Inc",
            "address_1": "12048 James St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494249661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson@bethany.org",
            "affiliation": "Y",
            "affiliationName": "Bethany Christian Services, Inc",
            "address_1": "12048 James St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494249661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson@bethany.org",
            "affiliation": "Y",
            "affiliationName": "Bethany Christian Services, Inc",
            "address_1": "12048 James St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494249661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson@bethany.org",
            "affiliation": "Y",
            "affiliationName": "Bethany Christian Services, Inc",
            "address_1": "12048 James St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494249661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson@bethany.org",
            "affiliation": "Y",
            "affiliationName": "Bethany Christian Services, Inc",
            "address_1": "12048 James St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494249661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson@bethany.org",
            "affiliation": "Y",
            "affiliationName": "Bethany Christian Services, Inc",
            "address_1": "12048 James St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494249661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@risetorenewcounseling.com",
            "affiliation": "N",
            "address_1": "12930 James St Ste 140",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494248324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Williams
• Brian Willie
• Bradley L Willoughby, MD
• Kara Anne Willoughby, MD
• Beth Wilmot, LMSW
• Carolynn E Wilson, RN
• Christine A Wilson, RN
• Leslie Wilson, LPC
• Madison Wilson
• Katie Winchel, RBT-17-36034

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.