AMY ALBERTSON – Counselor, NPI 1053953208

AMY ALBERTSON is a healthcare provider. based in Portage, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401017678 (MI). The NPI Number for AMY ALBERTSON is 1053953208

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
AMY ALBERTSON
NPI
1053953208
Phone
(269) 366-0650
Address
1651 W CENTRE AVE
Enumeration Date
9 October 2019
Last Update Date
9 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693736000
Graduation Year
2017 (9 years ago)
PAC ID
6002257474
Group Practice PAC ID
5890730337
Professional Enrollment ID
I20240516000820
Address ID
MI490012501KA615XXPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for AMY ALBERTSON

  • 1651, West Centre Avenue, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490246312

    Phone: (269) 366-0650

    Type: Location

  • 1416 E Alcott St

    Kalamazoo, MI 490014345

    Phone: (269) 599-7672

    Type: Location

  • 1416, East Alcott Street, Kalamazoo, Kalamazoo County, Michigan, 49001, United States

    KALAMAZOO, MI 490014345

    Phone: (269) 599-7672

    Type: Mailing

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: 2024-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240516000820IMental Health CounselorMITBD

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 49024)

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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: 5890730337View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Mental Health CounselorMI
P S Y C H I A T R YIL
P S Y C H I A T R YOH
Psychiatry, General PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for AMY ALBERTSON?
Save NPI 1053953208 if you need a stable reference for AMY ALBERTSON.
Is AMY ALBERTSON currently active in the NPI registry?
CMS-published data lists AMY ALBERTSON as an active registrant.
What kind of provider is AMY ALBERTSON?
The page reflects Counselor for AMY ALBERTSON. Clinical services aligned with this taxonomy classification.
What location shows for AMY ALBERTSON?
We surface Portage, Michigan for AMY ALBERTSON based on available NPPES addresses.
How can I contact AMY ALBERTSON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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