Individual provider Active NPI

Amanda Marie Espy, LMFT

  • Mental Health Counselor
  • Santa Monica, CA
National Provider Identifier
1760950109
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
108726 Issued in CA
Practice address
827 4TH St Apt 408
Santa Monica, CA 90403-1277
Phone
(424) 291-1249
NPI assigned
Nov 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 108726 CA Primary

Addresses

Primary practice location

827 4TH St Apt 408
Santa Monica, CA 90403-1277

Mailing address

827 4TH St Apt 408
Santa Monica, CA 90403-1277
Phone (424) 291-1249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004653 CA Practitioner - Marriage and Family Therapist 1658811997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

827 4TH St
Apt 408
Santa Monica, CA 90403-1277
Phone (424) 291-1249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Marie Espy Family Therapy, Inc. CurrentSince Aug 11, 2024 Accepting new patients
Amanda Marie Espy Family Therapy, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1760950109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 4TH ST APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031277",
            "telephone_number": "424-291-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 4TH ST APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031277",
            "telephone_number": "424-291-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPY",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "108726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.