NPIMap

Organization Active NPI

Oshkosh Marriage and Family Therapy Center, LLC

  • Marriage & Family Therapist
  • Oshkosh, WI
National Provider Identifier
1184494551
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
OSHKOSH MARRIAGE AND FAMILY THERAPY CENTER, LLC
Practice address
2211 Oregon St Ste N
Oshkosh, WI 54902-7001
Phone
(920) 479-1996
Fax
(920) 479-1997
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Amanda Clare Anderson, PHDNPI 1558795690
Title
Owner/Therapist/Supervisor
Phone
(920) 479-1996

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
Counselor 101Y00000X NU
Marriage & Family Therapist 106H00000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

2211 Oregon St Ste N
Oshkosh, WI 54902-7001

Mailing address

2211 Oregon St Ste N
Oshkosh, WI 54902-7001
Phone (920) 479-1996

National Provider Directory

National Provider Directory

Locations

2211 Oregon St
Ste N
Oshkosh, WI 54902
Phone (920) 479-1996

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1184494551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 OREGON ST STE N",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027001",
            "telephone_number": "920-479-1996",
            "fax_number": "920-479-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 OREGON ST STE N",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027001",
            "telephone_number": "920-479-1996",
            "fax_number": "920-479-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHKOSH MARRIAGE AND FAMILY THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "OWNER/THERAPIST/SUPERVISOR",
        "authorized_official_telephone_number": "920-479-1996",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.