AMY WALDIE – Mental Health Counselor, NPI 1144613258

AMY WALDIE is a healthcare provider. based in Mascotte, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH 13228 (FL). The NPI Number for AMY WALDIE is 1144613258

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
AMY WALDIE
NPI
1144613258
Phone
(352) 805-8423
Address
6009 PINE BLUFF LN
Enumeration Date
13 March 2015
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7862447711
Graduation Year
2012 (14 years ago)
PAC ID
6800236258
Group Practice PAC ID
3476961368
Professional Enrollment ID
I20240702003211
Address ID
FL331301807MI66XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for AMY WALDIE

  • 6009 PINE BLUFF LN

    MASCOTTE, FL 347538882

    Phone: (352) 805-8423

    Type: Location

  • 1217 HUFFSTETLER RD

    EUSTIS, FL 327268225

    Phone: (352) 483-1652

    Fax: (352) 360-6582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240501004096IMental Health CounselorFLTBD
I20240702003211IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34753)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476961368View full group profile
NameSpecialtyState
Clinical PsychologistMT
Clinical PsychologistLA
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Certified Nurse Midwife (Cnm)FL
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the standard ID for AMY WALDIE in the U.S.?
In the U.S., AMY WALDIE is identified by NPI 1144613258.
Is AMY WALDIE's NPI status active today?
Active status means AMY WALDIE's NPI record is not deactivated in the public file.
Which specialty label fits AMY WALDIE?
NPPES ties AMY WALDIE to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is AMY WALDIE tied to Mascotte, Florida?
If you are local to Mascotte, Florida, AMY WALDIE may be relevant to your search.
Can I export AMY WALDIE's record?
You can download the official NPPES record; we summarize key fields for readability.

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