Individual provider Active NPI

Amy Schmidt Hanle, BA, MS, MA, LMFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1295199248
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120741 Issued in CA
Practice address
1509 Seabright Ave Ste C1
Santa Cruz, CA 95062-2555
Phone
(831) 824-4843
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120741 CA Primary

Addresses

Primary practice location

1509 Seabright Ave Ste C1
Santa Cruz, CA 95062-2555

Mailing address

1509 Seabright Ave Ste C1
Santa Cruz, CA 95062-2555
Phone (831) 824-4843

Other practice location 1

542 Ocean St Ste K
Santa Cruz, CA 95060-6622
Phone (831) 824-4843

Other practice location 2

3192 Glen Canyon Rd
Scotts Valley, CA 95066-4916
Phone (831) 227-2439

Other practice location 3

550 Water St Ste E2
Santa Cruz, CA 95060-4130
Phone (831) 824-4843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405000880 CA Practitioner - Marriage and Family Therapist 6002236569 Practice locations: Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1509 Seabright Ave
Suite C1
Santa Cruz, CA 95062-2555
Phone (831) 824-4843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
120741CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1295199248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 SEABRIGHT AVE STE C1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622555",
            "telephone_number": "831-824-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 SEABRIGHT AVE STE C1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622555",
            "telephone_number": "831-824-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Ocean St Ste K",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950606622",
            "country_code": "US",
            "telephone_number": "831-824-4843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3192 Glen Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Scotts Valley",
            "state": "CA",
            "postal_code": "950664916",
            "country_code": "US",
            "telephone_number": "831-227-2439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Water St Ste E2",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604130",
            "country_code": "US",
            "telephone_number": "831-824-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLE",
        "first_name": "AMY",
        "middle_name": "SCHMIDT",
        "credential": "BA, MS, MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.