| Amanda Edwards, LPC | |
|
650 Trade Centre Way Ste 140, Portage, MI 49002-0411 | |
| (517) 882-3732 | |
| Not Available |
| Full Name | Amanda Edwards |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 650 Trade Centre Way Ste 140, Portage, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942759899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2014044331 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 6401224845 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Counseling Llc | 0749458420 | 1187 |
| Entity Name | Thrive Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210721003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Edwards, LPC 650 Trade Centre Way Ste 140, Portage, MI 49002-0411 Ph: (517) 882-2732 | Amanda Edwards, LPC 650 Trade Centre Way Ste 140, Portage, MI 49002-0411 Ph: (517) 882-3732 |
Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356 |
Melissa Portia Fuller, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327 |
Craig Bolthouse, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6070 Newport Rd, Portage, MI 49002 Phone: 269-409-3000 |
Casey Jo Haveman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 E Kilgore Rd, Portage, MI 49002 Phone: 269-249-7179 |
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556 |
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553 |
Gabrielle Loretta Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1595 W Centre Ave Ste 102, Portage, MI 49024 Phone: 269-246-2458 Fax: 269-459-1222 |