Active NPI
Amanda Farrell Jennings, M.F.T.
- Marriage & Family Therapist
- Westlake Village, CA
National Provider Identifier
1528124997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT43669
- Practice address
- 4050 E Thousand Oaks Blvd Ste 220
Westlake Village, CA 91362-3655 - Phone
- (805) 497-0077
- NPI assigned
- Dec 29, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC43669 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT43669 | CA | Primary |
Addresses
Primary practice location
4050 E Thousand Oaks Blvd Ste 220
Westlake Village, CA 91362-3655
Mailing address
21200 Oxnard St # 907
Woodland Hills, CA 91367-5014
Phone (805) 497-0077
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 |
|---|---|---|---|
| MFC43669 | CA | MD | Marriage & Family Therapist |
| MFT43669 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1528124997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21200 OXNARD ST # 907",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913675014",
"telephone_number": "805-497-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 E THOUSAND OAKS BLVD STE 220",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623655",
"telephone_number": "805-497-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "AMANDA",
"middle_name": "FARRELL",
"name_prefix": "Mrs.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC43669",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT43669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.