Individual provider Active NPI

Amanda Marie Whitaker

  • Mental Health Counselor
  • Thousand Oaks, CA
National Provider Identifier
1306603253
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19137 Issued in CA
Practice address
100 E Thousand Oaks Blvd Ste 225
Thousand Oaks, CA 91360-8132
Phone
(805) 320-5712
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19137 CA Primary

Addresses

Primary practice location

100 E Thousand Oaks Blvd Ste 225
Thousand Oaks, CA 91360-8132

Mailing address

PO Box 3171
Westlake VLG, CA 91359-0171
Phone (805) 824-3709

Other practice location 1

4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934
Phone (818) 939-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19137CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Pappas Marriage Family Therapy Inc. CurrentSince Nov 9, 2025 Accepting new patients
Apex Therapy Group, a Marriage and Family Therapy Corporation PastSince Jan 1, 2021 Accepting new patients

Locations

100 E Thousand Oaks Blvd
Ste 225
Thousand Oaks, CA 91360
Phone (805) 320-5712

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1306603253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3171",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913590171",
            "telephone_number": "805-824-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 225",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608132",
            "telephone_number": "805-320-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Sepulveda Blvd Unit 210",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033934",
            "country_code": "US",
            "telephone_number": "818-939-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "19137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.