Amy Marie Watson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

23293 Issued in CA

Practice address

5575 Capistrano Ave
Atascadero, CA 93422-4264

Phone

(805) 792-1400

Fax

(805) 929-6440

NPI assigned

Mar 16, 2007

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

Other names 1

• Amy Marie Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841324043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 CAPISTRANO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224264",
            "telephone_number": "805-792-1400",
            "fax_number": "805-929-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CAPISTRANO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224264",
            "telephone_number": "805-792-1400",
            "fax_number": "805-929-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "23293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BUTLER",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Dianne Walker, PHD
• Alessia C Wallace
• Alicia Wallace, BCBA
• Anthony Paul Wallace, P.T.
• Kimberly Wallace
• Briana Watson
• Richard Lee Watz, D.C.
• Christopher Allen Webb, PHD
• Samuel Weber
• Hayley Wechsler, PHD

• Mental Health Counselor in Atascadero, CA
• Providers in Atascadero, 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 Jul 8, 2007; 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.