AMANDA JEAN ANDERSEN (NPI# 1306325022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306325022 |
| Entity Type | Individual |
| Full Name | AMANDA JEAN ANDERSEN |
| Credential | LMFT, MA |
| Practice Address |
17744 Sky Park Cir Irvine CA 92614-6421 |
| Mailing Address |
60 Clover Lake Forest CA 92630-8368 |
| Practice Telephone | 9493446566 |
| Mailing Telephone | 9493446566 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 102510 | CA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1207 E Fruit St, Santa Ana, CA 92701 | 9493446566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033504410 | Amanda Andersen | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2015-04-01 |
| 1225382153 | Amanda Andersen | Chiropractor | 3540 S Poplar St, #306, Denver, CO 80237-1360 | 2012-10-30 |
| Street Address |
17744 SKY PARK CIR |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326313842 | Advocate Home Health Agency Inc | Home Health | 17744 Sky Park Cir, Irvine, CA 92614-6421 | 2012-03-16 |
| 1992190383 | Natalia Nikolova | Psychologist | 17744 Sky Park Cir, Ste 285, Irvine, CA 92614-4461 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102358 | Alana Model Heavirland | Marriage & Family Therapist | 8 Misty Shadow, Irvine, CA 92603-3766 | 2020-10-18 |
| 1225651482 | Jacalyn Jay Schoen | Marriage & Family Therapist | 17682 Mitchell N Ste 104, Irvine, CA 92614-6094 | 2020-05-22 |
| 1033730700 | Jodi Paris | Marriage & Family Therapist | 64 Sagan, Irvine, CA 92618-1332 | 2020-05-04 |
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1265099527 | Kelley Kuit | Marriage & Family Therapist | 1682 Langley Ave, Irvine, CA 92614-5620 | 2019-05-22 |
| 1154888055 | Rafael Speck | Marriage & Family Therapist | 9 Barcelona, Irvine, CA 92614-5315 | 2019-02-27 |
| 1578020582 | Craig Hanggie | Marriage & Family Therapist | 335 Grand Canal, Irvine, CA 92620-1883 | 2019-02-26 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1801369244 | Shellee Mi Moore | Marriage & Family Therapist | 20 Corporate Park Ste 215, Irvine, CA 92606-3111 | 2019-01-08 |
| 1588133920 | Summer Witty | Marriage & Family Therapist | 152 Full Moon, Irvine, CA 92618-8806 | 2018-11-14 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.