MRS. AMANDA LYNN WALKER (NPI# 1922424613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922424613 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LYNN WALKER |
| Other Name | AMANDA LYNN FREEMAN |
| Credential | LMFT |
| Practice Address |
4565 Ruffner St Ste 110 San Diego CA 92111-2258 |
| Mailing Address |
Po Box 420723 San Diego CA 92142-0723 |
| Practice Telephone | 8589399690 |
| Mailing Telephone | 8589399690 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 96408 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328573 | Amanda M Walker | Counselor | 1601 2nd Ave N Ste 200a, Great Falls, MT 59401-3243 | 2019-10-23 |
| 1023671450 | Amanda Walker | Social Worker | 25 Amideo Dr, Leominster, MA 01453-4103 | 2019-04-22 |
| 1073002317 | Amanda Rene Walker | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue Ste 447, Memphis, TN 38163-0001 | 2018-05-02 |
| 1730584004 | Amanda H Walker | Social Worker | 4517 Talley Rd, Hamptonville, NC 27020-7849 | 2014-10-29 |
| 1265832091 | Amanda Dee Walker | Behavioral Analyst | 34042 Sunset Ave, Leesburg, FL 34788-4356 | 2014-08-29 |
| 1699187666 | Amanda Walker | Nurse Practitioner | 58 East River Drive, Strawberry, AR 72469 | 2014-05-27 |
| 1700201324 | Amanda Walker | Counselor | 2640 Canal St, 4th, New Orleans, LA 70119-6410 | 2014-02-19 |
| 1083051072 | Amanda Christine Walker | Speech-Language Pathologist | 3509 Interstate Blvd S, Suite B, Fargo, ND 58103-2200 | 2013-05-30 |
| 1891066734 | Amanda Violet Walker | Community Health Worker | 204 Blues Ave, Hughes, AK 99745 | 2012-01-24 |
| 1942502729 | Amanda Walker | Physical Therapy Assistant | 1773 Sheffield Ter, Marion, OH 43302-6853 | 2010-11-29 |
| Street Address |
4565 RUFFNER ST STE 110 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730245648 | Connie Martin | Marriage & Family Therapist | 4565 Ruffner St Ste 110, San Diego, CA 92111-2258 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| 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 |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| Find all providers in SAN DIEGO | ||||
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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.