Amanda Marie Thibodeau, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

142298 Issued in CA

Practice address

547 Uren St
Nevada City, CA 95959-2334

Phone

(530) 277-5615

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1154193134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590373",
            "telephone_number": "530-277-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 UREN ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592334",
            "telephone_number": "530-277-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Viree Taylor, LMFT
• Team 3 Family Counseling Center
• Mary E. Tendall, LMFT
• Wilma I Terrill, M.S., LMFT
• Mackenzie Kaylen Theis, MSW
• Trent Thomas
• Aaron James Thompson
• Keith Thompson, LMFT
• James Gregory Thornton, D.C.
• Jordan Michelle Tolman, MS, PPS

• Marriage & Family Therapist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.