Amanda Kelsey Hall

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

147141 Issued in CA

Practice address

8421 Auburn Blvd Ste 3
Citrus Heights, CA 95610-0391

Phone

(916) 512-8420

NPI assigned

May 4, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1710676754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SHEFFIELD WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615541",
            "telephone_number": "916-521-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 AUBURN BLVD STE 3",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100391",
            "telephone_number": "916-512-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMANDA",
        "middle_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Jesus Gutierrez
• Mateo Guzman
• Rocio Guzman
• Yadira Guzman
• Dasean Hale
• Christopher Benjamin Hall, APRN, MSN, FNP-C
• Lashae Hall
• Samantha Haller
• Jason T Hamamoto, M.D.
• Gary Paul Hamilton, PHARM.D.

• Marriage & Family Therapist in Citrus Heights, CA
• Providers in Citrus Heights, 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 Sep 11, 2024; 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.