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AMANDA VANN LMFT
NPI 1104979475
Marriage & Family Therapist in San Diego, CA

Active since January 19, 2007Opted out of Medicare · through Jan 1, 2028
2351 CARDINAL LN, SAN DIEGO, CA 92123(619) 362-3100 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Vann Lmft NPPES

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

AMANDA VANN LMFT (NPI 1104979475) is an individual marriage & family therapist in San Diego, California, licensed in California (93285) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1104979475
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA VANNCredential: LMFT
Location Address2351 CARDINAL LNSan Diego, CA 92123-3743
Mailing Address2351 Cardinal LnSan Diego, CA 92123-3743 · (619) 362-3100
Phone(619) 362-3100
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1104979475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 93285
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.
2351 CARDINAL LN, San Diego, CA 92123
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Vann Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MS. SHIRLEY KAY CULVER LCSW
Social Worker (Clinical)
2351 CARDINAL LN, ANNEX B
SAN DIEGO, CA 92123
San Diego County (858) 573-2228
LESLEY ANNE JOHNSON LMFT
Marriage & Family Therapist
2351 CARDINAL LN
SAN DIEGO, CA 92123
San Diego County (858) 283-8941
THASNEEM PINEDA SAIFUDEEN
Student in an Organized Health Care Education/Training Program
2351 CARDINAL LN
SAN DIEGO, CA 92123
San Diego County (858) 573-2227
BRENDA OLIVAS-CAMPOS
Rehabilitation Practitioner
2351 CARDINAL LN
SAN DIEGO, CA 92123
San Diego County (619) 362-3100
KUAN-LIN HO
Marriage & Family Therapist
2351 CARDINAL LN
SAN DIEGO, CA 92123
San Diego County (858) 573-2227
VANAE TRAN
Student in an Organized Health Care Education/Training Program
2351 CARDINAL LN, ANNEX B
SAN DIEGO, CA 92123
San Diego County (858) 573-2227
MS. DENISE DIANE GARCIA LCSW
Social Worker (Clinical)
2351 CARDINAL LN
SAN DIEGO, CA 92123
San Diego County (858) 573-2227
PAULA KAY HAMAR
Rehabilitation Practitioner
2351 CARDINAL LN
SAN DIEGO, CA 92123
San Diego County (619) 362-3100

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 Vann's NPI number?

The NPI number for Amanda Vann is 1104979475. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Amanda Vann located?

Amanda Vann practices at 2351 Cardinal Ln, San Diego, CA 92123. The listed phone number is (619) 362-3100.

What is Amanda Vann's specialty?

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

Is Amanda Vann enrolled in Medicare?

No. Amanda Vann has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Vann was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.