Individual provider Active NPI

Amy Gores, LMFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1922807700
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT146291 Issued in CA
Practice address
123 F St Ste F
Eureka, CA 95501-1048
Phone
(707) 390-0393
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT146291 CA Primary

Addresses

Primary practice location

123 F St Ste F
Eureka, CA 95501-1048

Mailing address

123 F St Ste F
Eureka, CA 95501-1048
Phone (707) 390-0393

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
I20250428003979 CA Practitioner - Marriage and Family Therapist 4688190101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Counseling ConnectionGroup PAC ID 5193160950, 5 clinicians

Practice addresses (Care Compare)

123 F St
Suite F
Eureka, CA 95501-1048
Phone (707) 390-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT146291CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Counseling Connection CurrentSince Mar 20, 2025 Accepting new patients
Humboldt Counseling Connection CurrentSince Apr 21, 2025 Accepting new patients

Locations

123 F St
Ste F
Eureka, CA 95501
Phone (707) 268-8007

310 F St
Eureka, CA 95501
Phone (707) 390-0393

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1922807700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 F ST STE F",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011048",
            "telephone_number": "707-390-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 F ST STE F",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011048",
            "telephone_number": "707-390-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORES",
        "first_name": "AMY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT146291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.