NPIMap

Organization Active NPI

Nspiring Change- Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Victorville, CA
National Provider Identifier
1184240459
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NSPIRING CHANGE- MARRIAGE AND FAMILY THERAPY INC
Practice address
16519 Victor St Ste 421
Victorville, CA 92395-3935
Phone
(442) 242-4325
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Ms. Crystal Amber Lynn Amick, MA. LMFTNPI 1891115184
Title
Owner/Ceo
Phone
(442) 242-4325

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

16519 Victor St Ste 421
Victorville, CA 92395-3935

Mailing address

13083 Hilcorte LN
Victorville, CA 92394-3704

Other names 1

  • Nspiring Change Doing business as

National Provider Directory

National Provider Directory

Locations

16519 Victor St
Ste 421
Victorville, CA 92395
Phone (442) 242-4325

Practitioners & affiliated clinicians

Practitioners 5

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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1184240459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13083 HILCORTE LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 VICTOR ST STE 421",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953935",
            "telephone_number": "442-242-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSPIRING CHANGE- MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "AMICK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "AMBER LYNN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "442-242-4325",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA. LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nspiring Change",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nspiring Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.