Amanda Lynn Prestage, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133792 Issued in CA

Practice address

703 Palomar Airport Rd Ste 225
Carlsbad, CA 92011-1049

Phone

(951) 370-1532

Fax

(951) 370-1532

NPI assigned

Jul 27, 2022

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Coastal Marriage and Family Therapy a Professional Corporation

  • Marriage & Family Therapist
  • Carlsbad, CA
  • NPI 1811600190
  NPD Authorized official

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1225764657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SPINNAKER ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114676",
            "telephone_number": "760-576-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PALOMAR AIRPORT RD STE 225",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111049",
            "telephone_number": "951-370-1532",
            "fax_number": "951-370-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082370",
            "country_code": "US",
            "telephone_number": "760-453-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTAGE",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Powell
• Angeline Prakelt
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• Tracy Lynn Preece, PH.D.
• Prescient Lab Services, LLC
• Chelsea Anne Price
• Jennifer Price
• Judy L. Price
• Madison Rece Price
• Riley Price

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, 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 Sep 28, 2022; 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.