Amanda Stephanie Izen, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

137750 Issued in CA

Practice address

16867 Kingsbury St Apt 106
Granada Hills, CA 91344-6443

Phone

(818) 648-6472

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1427838812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16867 KINGSBURY ST APT 106",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446443",
            "telephone_number": "818-648-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16867 KINGSBURY ST APT 106",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446443",
            "telephone_number": "818-648-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZEN",
        "first_name": "AMANDA",
        "middle_name": "STEPHANIE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "137750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyatta Irvin, NP
• Aneta Isayan
• Lloyd K Ito, MD
• Ivystone Healthcare LLC
• Mari Iyama, DPT, CSCS
• La Tina Monique Jackson, LCSW
• Jacob Offenberger MD Inc
• Evelinda D Jacob, DDS
• Karen Jacobson, PT
• Richard Samuel Jacobson, M,D,

• Mental Health Counselor in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.