Individual provider Active NPI

Amy Buchanan

  • Clinical Social Worker
  • Folsom, CA
National Provider Identifier
1861940165
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
99 Cable Cir Apt 15
Folsom, CA 95630-6908
Phone
(530) 220-0431
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88361 CA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

99 Cable Cir Apt 15
Folsom, CA 95630-6908

Mailing address

99 Cable Cir Apt 15
Folsom, CA 95630-6908
Phone (530) 220-0431

Other practice location 1

6765 Green Valley Rd
Placerville, CA 95667-8984
Phone (530) 622-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231019002096 FL Practitioner - Clinical Social Worker 5395191829 Reassigns benefits to 1 organization
I20231114000098 CA Practitioner - Clinical Social Worker 5395191829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Counseling With Amy Buchanan Clinical CurrentSince Dec 18, 2022 Accepting new patients
Victory Counseling, LLC Clinical Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 20, 2023 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Sep 22, 2023 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1861940165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CABLE CIR APT 15",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306908",
            "telephone_number": "530-220-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CABLE CIR APT 15",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306908",
            "telephone_number": "530-220-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6765 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956678984",
            "country_code": "US",
            "telephone_number": "530-622-5551",
            "fax_number": "530-622-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "88361",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.