Individual provider Active NPI

Amelia L Mora Mars, MFTI

  • Mental Health Counselor
  • Camarillo, CA
National Provider Identifier
1043615198
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF82786 Issued in CA
Practice address
4001 Mission Oaks Blvd
Suite I
Camarillo, CA 93012-5121
Phone
(805) 485-6114
NPI assigned
Oct 31, 2014
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF82786 CA Primary

Addresses

Primary practice location

4001 Mission Oaks Blvd
Suite I
Camarillo, CA 93012-5121

Mailing address

4001 Mission Oaks Blvd
Suite I
Camarillo, CA 93012-5121
Phone (805) 485-6114

Other names 1

  • Amelia L Mars Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF82786CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1043615198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MISSION OAKS BLVD",
            "address_2": "SUITE I",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125121",
            "telephone_number": "805-485-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MISSION OAKS BLVD",
            "address_2": "SUITE I",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125121",
            "telephone_number": "805-485-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA MARS",
        "first_name": "AMELIA",
        "middle_name": "L",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF82786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "MARS",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.