Active NPI
Amanda Theresa Pantaleon, LMFT
- Marriage & Family Therapist
- Ukiah, CA
National Provider Identifier
1114287463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC93604
- Practice address
- 2240 Old River Rd
Ukiah, CA 95482-6103 - Phone
- (707) 467-5145
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | MFC93604 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC93604 | CA | Primary |
Addresses
Primary practice location
2240 Old River Rd
Ukiah, CA 95482-6103
Mailing address
2240 Old River Rd
Ukiah, CA 95482-6103
Phone (707) 467-5145
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC93604 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1114287463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 OLD RIVER RD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826103",
"telephone_number": "707-467-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 OLD RIVER RD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826103",
"telephone_number": "707-467-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTALEON",
"first_name": "AMANDA",
"middle_name": "THERESA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "MFC93604",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC93604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.