AMANDA DIANNE MARTIN LMFT, ATR
NPI 1104430933
Marriage & Family Therapist in San Mateo, CA

Q: What is Amanda Martin's NPI number?

The NPI number for Amanda Martin is 1104430933. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Q: What is Amanda Martin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Martin was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2020PECOS Enrolled

2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403(650) 690-5372 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2024, Aug 31, 2020 (2 updates tracked since 2020).

On this page

About Amanda Dianne Martin Lmft, Atr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DIANNE MARTIN LMFT, ATR (NPI 1104430933) is an individual marriage & family therapist in San Mateo, California, licensed in California (LMFT151052) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1104430933

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA DIANNE MARTINCredential: LMFT, ATR

Location Address2000 ALAMEDA DE LAS PULGASSan Mateo, CA 94403-1269

Mailing Address2000 Alameda De Las PulgasSan Mateo, CA 94403-1269

Phone(650) 690-5372

Sole ProprietorNo

Enumeration DateAugust 31, 2020

Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1104430933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT151052✔ Licensed in CA · AMFT126657

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2000 ALAMEDA DE LAS PULGAS, San Mateo, CA 94403

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Secondary Practice Location 1

Location 13200 Motor AveLos Angeles, CA 90034-3740 · Phone (310) 836-1223

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Dianne Martin Lmft, Atr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Mateo

Same address

Mental Health (Including Community Mental Health Center)

2000 ALAMEDA DE LAS PULGAS
San Mateo, CA 94403

Reassigned Medicare billing, California enrollment
597 clinicians in this Medicare group

NPI 1336231646 (650) 372-8540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANASTASIA WILHELM

Case Manager/Care Coordinator

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (650) 573-2959

RICHARD ROBERT GRUNERT CACT 2215167-2

Day Training/Habilitation Specialist

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (650) 670-7714

KATIE DELLAMARIA RN, PHN, MSN

Registered Nurse

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (650) 573-2019

KRISTEN EDUVIGES BURGER LCSW

Social Worker (Clinical)

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (650) 372-8540

SAN MATEO COUNTY

Case Management

2000 ALAMEDA DE LAS PULGAS, STE 235
SAN MATEO, CA 94403

San Mateo County (650) 573-2517

FIONA SABLO RN,BSN,PHN

Registered Nurse

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (650) 573-2575

ANISH DHAMIJA MD

Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (800) 686-0101

JINNY SAKUMOTO RN

Registered Nurse

2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

San Mateo County (650) 573-3948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Martin's NPI number?

The NPI number for Amanda Martin is 1104430933. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Amanda Martin located?

Amanda Martin practices at 2000 Alameda De Las Pulgas, San Mateo, CA 94403. The listed phone number is (650) 690-5372.

What is Amanda Martin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Amanda Martin enrolled in Medicare?

Yes. Amanda Martin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Martin reassigns Medicare benefits to County Of San Mateo (San Mateo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Martin was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.