Individual provider Active NPI

Amanda Workman, ACSW

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1104531300
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120859 Issued in CA
Practice address
851 Fremont Ave Ste 106
Los Altos, CA 94024-5602
Phone
(650) 336-8033
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120859 CA Primary

Addresses

Primary practice location

851 Fremont Ave Ste 106
Los Altos, CA 94024-5602

Mailing address

851 Fremont Ave Ste 106
Los Altos, CA 94024-5602
Phone (650) 336-8033

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://justtalktherapysv.com

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
120859CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Just Talk Psychotherapy Inc. CurrentSince Jan 29, 2023 Accepting new patients

Locations

851 Fremont Ave
Ste 106
Los Altos, CA 94024
Phone (650) 336-8033

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1104531300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 106",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "650-336-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 106",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "650-336-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "AMANDA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://justtalktherapysv.com",
            "affiliation": "N",
            "address_1": "851 Fremont Ave Ste 106",
            "city": "Los Altos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940245602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.