Active NPI
Amani Chambliss, LMFT
- Marriage & Family Therapist
- Woodland Hills, CA
National Provider Identifier
1225543507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125270
- Practice address
- 21201 Kittridge St Apt 3206
Woodland Hills, CA 91303-5012 - Phone
- (818) 564-6382
- NPI assigned
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 125270 | CA | Primary |
Addresses
Primary practice location
21201 Kittridge St Apt 3206
Woodland Hills, CA 91303-5012
Mailing address
PO Box 7088
Woodland Hills, CA 91365-7088
Other names 1
- Amani Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125270 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1225543507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7088",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913657088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21201 KITTRIDGE ST APT 3206",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913035012",
"telephone_number": "818-564-6382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLISS",
"first_name": "AMANI",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANI",
"last_name": "WILLIAMS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.