Active NPI
Amber Clemmons-Trigueros, LMFT
- Marriage & Family Therapist
- Santa Maria, CA
National Provider Identifier
1619198355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT53051
- Practice address
- 212 Carmen LN
Santa Maria, CA 93458-7769 - Phone
- (805) 212-7680
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | LMFT53051 | CA | Primary |
Addresses
Primary practice location
212 Carmen LN
Santa Maria, CA 93458-7769
Mailing address
212 Carmen LN
Santa Maria, CA 93458-7769
Phone (805) 212-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952589228 | Other | TELECARE CRT'S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT53051 | CA | MD | Marriage & Family Therapist |
| 53051 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1619198355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CARMEN LN",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587769",
"telephone_number": "805-212-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CARMEN LN",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587769",
"telephone_number": "805-212-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMONS-TRIGUEROS",
"first_name": "AMBER",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT53051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TELECARE CRT'S",
"identifier": "1952589228",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.