Individual provider Active NPI

Amanda Marissa Rizo, MS, LPCC

  • Professional Counselor
  • Long Beach, CA
National Provider Identifier
1396223012
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8037 Issued in CA
Practice address
3050 E 5TH St Apt 7
Long Beach, CA 90814-5031
Phone
(305) 467-3157
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5414 CA
Professional Counselor 101YP2500X 8037 CA Primary

Addresses

Primary practice location

3050 E 5TH St Apt 7
Long Beach, CA 90814-5031

Mailing address

3050 E 5TH St Apt 7
Long Beach, CA 90814-5031
Phone (213) 640-6848

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 Science

State licenses

LicenseStateTypeSpecialty
5414CAMDAddiction (Substance Use Disorder) Counselor
8037CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1396223012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E 5TH ST APT 7",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145031",
            "telephone_number": "213-640-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E 5TH ST APT 7",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145031",
            "telephone_number": "305-467-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZO",
        "first_name": "AMANDA",
        "middle_name": "MARISSA",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "5414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "8037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; 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.