Active NPI
Amanda Effertz
- Marriage & Family Therapist
- Palm Harbor, FL
National Provider Identifier
1467204388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT5595
- Practice address
- 34931 US Highway 19 N Ste 107
Palm Harbor, FL 34684-1901 - Phone
- (786) 423-6787
- NPI assigned
- Apr 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT5595 | FL | Primary |
Addresses
Primary practice location
34931 US Highway 19 N Ste 107
Palm Harbor, FL 34684-1901
Mailing address
4151 Newbury Dr
New Port Richey, FL 34652-5757
Phone (651) 216-5729
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT4123 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1467204388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 NEWBURY DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346525757",
"telephone_number": "651-216-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34931 US HIGHWAY 19 N STE 107",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841901",
"telephone_number": "786-423-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFFERTZ",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT5595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
- Scott Eckardt, P.T.
- Susan Edson, MA COUNSELING
- Edward Carvallo MD PA Plastic & Hand Surgery (Suncoast Outpatient Surgery Center)
- Edward G Mackay MD PA
- Edward G Mackay, MD and Associates, LLC
- Sharlene J Eichenberger
- Ekallevig Transport
- Christy Jeanne Elder, RMHCI
- Element Spine and Wellness LLC
- Elite Health Systems of Palm Harbor (Palm Harbor Physicians Walk In Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.