Amelia Hollis, MA, LMFT, NCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133466 Issued in CA

Practice address

1819 Kelton Ave Apt 304
Los Angeles, CA 90025-6780

Phone

(424) 330-5456

NPI assigned

Oct 6, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1629793146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 KELTON AVE APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256780",
            "telephone_number": "424-330-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 KELTON AVE APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256780",
            "telephone_number": "424-330-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "AMELIA",
        "credential": "MA, LMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ameliahollistherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1819 Kelton Ave Apt 304",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900256780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darlene Hollins-Slaton
• Phyllis Renee Hollins
• Tasha Rene Hollins
• Jane Blackwell Hollinshead
• Marlene Hollis Ochetti, LCSW
• Jolene Hollis
• Nillie M Hollis
• Thurston Sonrea Hollis II
• Zachary L Hollis, AMFT
• Anisa Brianna Holloman, MD

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.