Amanda Sharp, AMFT, APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

AMFT134383 Issued in CA

Practice address

1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577

Phone

(760) 499-7406

Fax

(760) 499-9259

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Fricker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• College Community Services

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1770203374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST STE 133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552577",
            "telephone_number": "760-499-7406",
            "fax_number": "760-499-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST STE 133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552577",
            "telephone_number": "760-499-7406",
            "fax_number": "760-499-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "AMANDA",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "AMFT134383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FRICKER",
            "credential": "AMFT, APCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Select CS Physical Therapy, P.C.
• Janet Lee Seltzer, R.PH.
• Kevin Carleton Seymour, PHD
• Michael Shahangian, M.D.
• Tammy Lynn Shanks
• Susan Shaw, MSW
• Charles A Shull, M.D.
• Vernon Harvey Shull, MD
• Anita Jane Shumway, LMFT
• Sienna Medical Corporation

• Professional Counselor in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.