Active NPI
Amanda Molly Morrison, M.A. LMFT LPCC
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1376974972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 113245
- Practice address
- 3031 Telegraph Ave
Oakland, CA 94609-3205 - Phone
- (510) 596-8127
- NPI assigned
- Dec 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 113245 | CA | Primary |
Addresses
Primary practice location
3031 Telegraph Ave
Oakland, CA 94609-3205
Mailing address
1569 Solano Ave # 289
Berkeley, CA 94707-2116
Phone (862) 266-3818
Other practice location 1
900 5th Ave
Suite 150
San Rafael, CA 94901-2959
Phone (415) 457-6964
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Oakland | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113245 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Cheim School, Inc. | Current | Accepting new patients |
Locations
3031 Telegraph Ave
Oakland, CA 94609
Phone (510) 596-8125
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1831289347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1376974972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 SOLANO AVE # 289",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947072116",
"telephone_number": "862-266-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093205",
"telephone_number": "510-596-8127"
}
],
"practiceLocations": [
{
"address_1": "900 5th Ave",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949012959",
"country_code": "US",
"telephone_number": "415-457-6964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "AMANDA",
"middle_name": "MOLLY",
"credential": "M.A. LMFT LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "113245",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Oakland",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Oakland",
"address_1": "3031 Telegraph Ave",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946093205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.