AMANDA FACKLER LPC NPI 1023724127

NPI Information

  • NPI: 1023724127
  • Provider Name: AMANDA FACKLER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8480 N 32ND ST UNIT 92
    RICHLAND, MI
    ZIP 49083
  • Phone: (269) 215-5753

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NPI Details

Amanda Fackler, LPC is a professional counselor in Richland, MI with 4 years of experience. Amanda Fackler, LPC NPI is 1023724127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8480 N 32ND ST UNIT 92
RICHLAND, MI
ZIP 49083-817
Phone: (269) 215-5753

The NPI 1023724127 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/24/2023 and was last updated on 1/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health6451022560MICHIGANNo
2101YP2500XCounselorProfessional6401224616MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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