Amelia Marin Macmillan, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

122505 Issued in CA

Practice address

280 E Thousand Oaks Blvd Ste D
Thousand Oaks, CA 91360-7762

Phone

(818) 584-5098

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1730825027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28920 BURLESON ST",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011715",
            "telephone_number": "818-584-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E THOUSAND OAKS BLVD STE D",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607762",
            "telephone_number": "818-584-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "AMELIA",
        "middle_name": "MARIN",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "122505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Oaks Compounding Pharmacy
• Marjan Lyons, M.D.
• Andrew Ma, MD
• Marcelle Macculloch, L.AC.
• Cherece L Mack
• Mathilda Macmillan, LAC
• Olivia Macmillan
• Mad Health & Wellness
• Prateek Madaan
• Bethany Maddison

• Mental Health Counselor in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.