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

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: August 02, 2026.

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

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
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.
2000 ALAMEDA DE LAS PULGAS, San Mateo, CA 94403

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Case Manager/Care Coordinator
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
Day Training/Habilitation Specialist
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
Registered Nurse
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
Social Worker (Clinical)
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
Case Management
2000 ALAMEDA DE LAS PULGAS, STE 235
SAN MATEO, CA 94403
Registered Nurse
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
Registered Nurse
2000 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403

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.

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 20 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.