Amanda Jean Chinchilla, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC52752 Issued in CA

Practice address

6695 E. Pacific Coast Hwy
Suite 135
Long Beach, CA 90803

Phone

(562) 431-5100

Fax

(562) 431-3560

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 19, 2024 through Mar 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Novus Mindful Life Institute

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1558679696
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1487918116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E. PACIFIC COAST HWY",
            "address_2": "SUITE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90803",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E. PACIFIC COAST HWY",
            "address_2": "SUITE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90803",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHILLA",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "55218",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC52752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Chin
• Carin A Chin, LMFT
• Hyun-Ji Chin, PHARMD
• Terry Chin, M.D.
• Frances Ganderin Chinchilla Orellana
• Michael J. Chindamo, PSY.D
• Chequet Ching
• Hank Jonathan Chinn Jr., MPT
• Stephen Brian Chinn, OTR/L
• Philip (None) Chiou, MD

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.