Active NPI
Amy Marie Lipomi, M.A., LMFT
- Marriage & Family Therapist
- Modesto, CA
National Provider Identifier
1437441938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT90867
- Practice address
- 613 13TH Street
Suite B
Modesto, CA 95354 - Phone
- (209) 765-3200
- NPI assigned
- May 3, 2011
- Last updated
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83589 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT90867 | CA | Primary |
Addresses
Primary practice location
613 13TH Street
Suite B
Modesto, CA 95354
Mailing address
PO Box 1308
Modesto, CA 95353-1308
Phone (209) 765-3200
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 |
|---|---|---|---|
| 83589 | CA | MD | Clinical Social Worker |
| LMFT90867 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1437441938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1308",
"city": "MODESTO",
"state": "CA",
"postal_code": "953531308",
"telephone_number": "209-765-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 13TH STREET",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "95354",
"telephone_number": "209-765-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPOMI",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "83589",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT90867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Virginia Betty Linker
- Nay Linn
- Linshaell Company (ComForCare Home Care Modesto CA)
- Catherine Mae Linville, LMFT
- David W Linville, PHARM.D
- Marty Richard Lipsey, D.D.S., M.S.
- John List
- Lit K. Fung, M.D., Inc., a Professional Medical Corporation (Modesto Heart Surgery)
- Little Wonders Speech Therapy, Inc.
- Megen Marie Little, RN, BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.