Individual provider Active NPI

Amanda Molly Morrison, M.A. LMFT LPCC

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1376974972
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113245 Issued in CA
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

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
113245CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Cheim School, Inc. CurrentSince Apr 19, 2020 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.

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.

Verify at the official NPI Registry.