Amy Marie Tanner-Neely, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT-115826 Issued in CA

Practice address

7545 Irvine Center Dr Ste 248
Irvine, CA 92618-2932

Phone

(424) 361-6196

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment
• Act Family Counseling Incorporated

  • Marriage & Family Therapist
  • Ontario, CA
  • NPI 1831494350
  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1538796305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 SAN FELIPE ST",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906383450",
            "telephone_number": "714-336-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 IRVINE CENTER DR STE 248",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182932",
            "telephone_number": "424-361-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER-NEELY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT-115826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi Tang, M.D.
• Mary Ann Musngi Tanglao, FNP
• Rajiv K Tangri, D.O.
• Keilin Tankiamco
• Nilima Nihar Tanna, OTR L, CLVT
• Aryanna Christal Tansey
• Tao Dan Pharmacy, Inc. (Tao Dan Pharmacy)
• Jeremiah Tao, M.D.
• Ryan Tapang
• Bea Jan Marie Gelera Tapawan, CCC-SLP

• Mental Health Counselor in Irvine, CA
• Providers in Irvine, 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 Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.