Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Kay Fackler Wallace, LPC

Individual provider Professional Counselor · NPI 1023724127

Amanda Kay Fackler Wallace, LPC is a Mental Health Counselor in Richland, Michigan. Qualified in 2022, 4 years ago. Practices with Partners in Change Psychological and Community Services, PLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

8480 N 32nd St Unit 92
Richland, MI 49083-9817
Phone: (269) 215-5753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 N 2nd St, Roscommon, MI 48653-9209 — (810) 837-2046

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401224616 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6451022560 (MI)

Record details

NPI number1023724127
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Partners In Change Psychological And Community Services, Plc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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