Amanda Renee Valles, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1107 S Pacific Coast Hwy
Redondo Beach, CA 90277-4903

Phone

(424) 241-2669

NPI assigned

May 19, 2018

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kids Unfiltered Child and Family Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Redondo Beach, CA
  • NPI 1245853688
  NPD
• Kids Unfiltered, Inc.

  • Clinical Social Worker
  • Redondo Beach, CA
  • NPI 1154178127
  NPD

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1518458173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261091",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914261091",
            "telephone_number": "323-591-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774903",
            "telephone_number": "424-241-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLES",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-54926",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Uriarte
• Jimmy Urizar
• Andrea Urrutia
• Usrc South Bay, LLC
• Fides Ynah Manabat Uy
• Paula M Van Doren, LCSW
• Natasha Vand, LMFT
• Joan P. Vannatta, P.T.
• Vantage Point Systems, Inc
• Vantage Point Systems, Inc.

• Mental Health Counselor in Redondo Beach, CA
• Providers in Redondo Beach, 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 Sep 30, 2021; 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.