Active NPI
Amanda Redding
- Professional Counselor
- Stockton, CA
National Provider Identifier
1588282792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14191
- Practice address
- PO Box 7067
Stockton, CA 95267-0067 - Phone
- (877) 693-3357
- NPI assigned
- Jul 14, 2020
- Last updated
- Sep 24, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012307 | PA | |
| Professional Counselor | 101YP2500X | 14191 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
PO Box 7067
Stockton, CA 95267-0067
Mailing address
PO Box 7067
Stockton, CA 95267-0067
Phone (877) 693-3357
Other practice location 1
815 Hyde St
San Francisco, CA 94109-5996
Phone (415) 673-5700
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012307 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| An Elegant Sufficiency, a Psychological Corporation | Current | Accepting new patients |
Locations
2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305
5250 Claremont Ave
Ste 118
Stockton, CA 95207
Phone (209) 200-8305
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Stockton, CA
- NPI 1427655810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1588282792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7067",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670067",
"telephone_number": "877-693-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 7067",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670067",
"telephone_number": "877-693-3357"
}
],
"practiceLocations": [
{
"address_1": "815 Hyde St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095996",
"country_code": "US",
"telephone_number": "415-673-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDING",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012307",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "14191",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.