Individual provider Active NPI

Amy Erin Williams-McNish, M.A., LMFT #103875

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1649643818
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103875 Issued in CA
Practice address
542 Ocean St Ste J
Santa Cruz, CA 95060-6622
Phone
(831) 291-1363
Fax
(831) 208-2752
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 86010 CA
Marriage & Family Therapist 106H00000X 103875 CA Primary

Addresses

Primary practice location

542 Ocean St Ste J
Santa Cruz, CA 95060-6622

Mailing address

PO Box 3054
Santa Cruz, CA 95063-3054
Phone (831) 346-7804

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
103875CAMDMental Health Counselor
86010CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Williams-McNish, LMFT Marriage & Family Therapist CurrentSince Apr 11, 2021 Accepting new patients

Locations

542 Ocean St
Ste J
Santa Cruz, CA 95060
Phone (831) 221-0088

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1649643818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3054",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950633054",
            "telephone_number": "831-346-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 OCEAN ST STE J",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606622",
            "telephone_number": "831-291-1363",
            "fax_number": "831-208-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-MCNISH",
        "first_name": "AMY",
        "middle_name": "ERIN",
        "credential": "M.A., LMFT #103875",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86010",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.