MRS. AMANDA S TIETJEN MFT
NPI 1275204430
Marriage & Family Therapist in Daytona Beach, FL

Active since September 27, 2021
430 BRADDOCK AVE, DAYTONA BEACH, FL 32118(386) 258-1618 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amanda S Tietjen Mft NPPES

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

MRS. AMANDA S TIETJEN MFT (NPI 1275204430) is an individual marriage & family therapist in Daytona Beach, Florida and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1275204430
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. AMANDA S TIETJENCredential: MFT
Location Address430 BRADDOCK AVEDaytona Beach, FL 32118-4616
Mailing Address430 Braddock AveDaytona Beach, FL 32118-4616 · (386) 258-1618
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1275204430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
430 BRADDOCK AVE, Daytona Beach, FL 32118

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118
Counselor (Mental Health)
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118
Counselor (Mental Health)
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118
Counselor (Mental Health)
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118
Marriage & Family Therapist
430 BRADDOCK AVE, PRESBYTERIAN COUNSELING CENTER
DAYTONA BEACH, FL 32118
Art Therapist
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118
Counselor (Mental Health)
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118
Counselor (Mental Health)
430 BRADDOCK AVE
DAYTONA BEACH, FL 32118

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 Tietjen's NPI number?

The NPI number for Amanda Tietjen is 1275204430. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Amanda Tietjen located?

Amanda Tietjen practices at 430 Braddock Ave, Daytona Beach, FL 32118. The listed phone number is (386) 258-1618.

What is Amanda Tietjen's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Tietjen was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.