Individual provider Active NPI

Amy Rochelle Durst, LMFT

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1932531233
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102883 Issued in CA
Practice address
5215 W Noble Ave Ste 102
Visalia, CA 93277-8355
Phone
(559) 707-7717
Fax
(559) 608-5707
NPI assigned
Aug 8, 2013
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 102883 CA Primary

Addresses

Primary practice location

5215 W Noble Ave Ste 102
Visalia, CA 93277-8355

Mailing address

PO Box 7957
Visalia, CA 93290-7957
Phone (559) 707-7717

Other practice location 1

PO Box 7957
Visalia, CA 93290-7957
Phone (559) 707-7717

Other names 1

  • Amy Rochelle Borges Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102883CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. Mental Health CurrentSince Jul 14, 2024 Accepting new patients
Tulare County Office of Education Past Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc PastSince Dec 25, 2018 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

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.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1932531233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7957",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907957",
            "telephone_number": "559-707-7717",
            "fax_number": "559-608-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W NOBLE AVE STE 102",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778355",
            "telephone_number": "559-707-7717",
            "fax_number": "559-608-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 7957",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932907957",
            "country_code": "US",
            "telephone_number": "559-707-7717",
            "fax_number": "559-608-5707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURST",
        "first_name": "AMY",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BORGES",
            "middle_name": "ROCHELLE",
            "credential": "LMFT 102883",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.