Active NPI
Therapy With Amir Licensed Professional Clinical Counselor Inc.
- Mental Health Counselor
- Manteca, CA
National Provider Identifier
1144984568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THERAPY WITH AMIR LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.
- Practice address
- 1824 Belmont PL
Manteca, CA 95337-8418 - Phone
- (313) 296-8734
- NPI assigned
- Oct 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amir Ahmed Siddiqui, LPCC
- Title
- Therapist
- Phone
- (313) 296-8734
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1824 Belmont PL
Manteca, CA 95337-8418
Mailing address
10231 Reflection LN
Stockton, CA 95219-7103
Phone (313) 296-8734
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656547200000",
"number": "1144984568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10231 REFLECTION LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197103",
"telephone_number": "313-296-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 BELMONT PL",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378418",
"telephone_number": "313-296-8734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY WITH AMIR LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-22",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "AMIR",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "313-296-8734",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.