Individual provider Active NPI

Amanda Macor, AMFT

  • Marriage & Family Therapist
  • Danville, CA
National Provider Identifier
1215385216
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101402 Issued in CA
Practice address
3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832
Phone
(925) 984-2326
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 101402 CA
Marriage & Family Therapist 106H00000X 101402 CA Primary

Addresses

Primary practice location

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832

Mailing address

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832
Phone (925) 984-2326

Other names 1

  • Amanda Melinda Lawler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1215385216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-984-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-984-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOR",
        "first_name": "AMANDA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "101402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LAWLER",
            "middle_name": "MELINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.