Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Pradna-Waugaman, LPC, LLMFT

Individual provider Marriage & Family Therapist · NPI 1427763465

Amy Pradna-Waugaman, LPC, LLMFT is a Mental Health Counselor in Portage, Michigan. Qualified in 2022, 4 years ago. 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

6070 Newport Rd
Portage, MI 49002-9234
Phone: (269) 409-3000
Fax: (269) 366-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401225130 (MI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 4151001086 (MI)

Record details

NPI number1427763465
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LLMFT
Sole proprietorNo
NPI enumeratedJanuary 13, 2023
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Portage