Active NPI
Amir Ahmed Siddiqui
- Counselor
- Manteca, CA
National Provider Identifier
1336617844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401017476
- Practice address
- 1824 Belmont PL
Manteca, CA 95337-8418 - Phone
- (313) 296-8734
- NPI assigned
- Nov 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401017476 | MI | |
| Mental Health Counselor | 101YM0800X | 5341 | CA | |
| Mental Health Counselor | 101YM0800X | LPCC10248 | CA | |
| Counselor | 101Y00000X | 6401017476 | MI | Primary |
| Counselor | 101Y00000X | MI |
Addresses
Primary practice location
1824 Belmont PL
Manteca, CA 95337-8418
Mailing address
1824 Belmont PL
Manteca, CA 95337-8418
Phone (313) 296-8734
Other practice location 1
35 E 10th St Ste L
Tracy, CA 95376-4083
Phone (313) 296-8734
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5341 | CA | MD | Mental Health Counselor |
| LPCC10248 | CA | MD | Mental Health Counselor |
| 6401017476 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy With Amir Licensed Professional Clinical Counselor Inc. | Mental Health | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
| Toiyabe Indian Health Project, Inc | Past | Accepting new patients |
Interoperability endpoints
- amirsiddiqui@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Manteca, CA
- NPI 1144984568
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
-
- Federally Qualified Health Center (FQHC)
- Bishop, CA
- NPI 1659433191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1336617844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 BELMONT PL",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378418",
"telephone_number": "313-296-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 BELMONT PL",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378418",
"telephone_number": "313-296-8734"
}
],
"practiceLocations": [
{
"address_1": "35 E 10th St Ste L",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953764083",
"country_code": "US",
"telephone_number": "313-296-8734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "AMIR",
"middle_name": "AHMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-02",
"last_updated": "2022-08-04",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401017476",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "5341",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC10248",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401017476",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.