Active NPI
Amanda Danielle Rose
- Marriage & Family Therapist
- Fowler, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT157143
- Practice address
- 311 E Merced St
Fowler, CA 93625 - Phone
- (559) 892-9452
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT157143 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SUDRC20603 | CA | |
| Mental Health Counselor | 101YM0800X | CA |
Addresses
Primary practice location
311 E Merced St
Fowler, CA 93625
Mailing address
311 E Merced St
Fowler, CA 93625-2316
Other practice location 1
1300 E Shaw Ave Ste 149
Fresno, CA 93710-7903
Phone (559) 554-9710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SUDRC20603 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| AMFT157143 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRM Family Counseling Services, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| Prodigy Healthcare Non Profit | Current | Accepting new patients | |
| Prodigy Healthcare Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
311 E Merced St
Fowler, CA 93625
Phone (555) 892-9452
1300 E Shaw Ave
Ste 149
Fresno, CA 93710
Phone (559) 554-9710
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Livewell Behavioral Health Counseling Center
- Marriage & Family Therapist
- Fresno, CA
- NPI 1851756092
-
- Adolescent and Children Mental Health Clinic/Center
- Fowler, CA
- NPI 1265158661
-
- Addiction (Substance Use Disorder) Counselor
- Selma, CA
- NPI 1487164877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1780466219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E MERCED ST",
"city": "FOWLER",
"state": "CA",
"postal_code": "936252316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MERCED ST",
"city": "FOWLER",
"state": "CA",
"postal_code": "93625",
"telephone_number": "559-892-9452"
}
],
"practiceLocations": [
{
"address_1": "1300 E Shaw Ave Ste 149",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937107903",
"country_code": "US",
"telephone_number": "559-554-9710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "AMANDA",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT157143",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "SUDRC20603",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fowler, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.