AMANDA NICOLE GADDIS
NPI 1629498639
Marriage & Family Therapist in Lake Elsinore, CA

Q: What is Amanda Gaddis's NPI number?

The NPI number for Amanda Gaddis is 1629498639. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Q: What is Amanda Gaddis'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 Gaddis was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2014

265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530(951) 674-9243(951) 674-9635 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Amanda Nicole Gaddis NPPES

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

AMANDA NICOLE GADDIS (NPI 1629498639) is an individual marriage & family therapist in Lake Elsinore, California, licensed in California (137781) and active in the NPI registry since April 2014. She maintains a secondary practice location in Victorville.

NPPES Registry Identity

NPI1629498639

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA NICOLE GADDIS

Location Address265 SAN JACINTO RIVER RD STE 107Lake Elsinore, CA 92530-4400

Mailing Address15095 Amargosa Rd Ste 201Victorville, CA 92394-1875 · (760) 780-4091

Phone(951) 674-9243

Fax(951) 674-9635

Sole ProprietorYes

Enumeration DateApril 17, 2014

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1629498639 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 · 137781

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.

265 SAN JACINTO RIVER RD STE 107, Lake Elsinore, CA 92530

Open in Google Maps ↗

Secondary Practice Location 1

Location 115095 Amargosa Rd Ste 201Victorville, CA 92394-1875 · Phone (760) 780-4091

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.

MORIAH ASCH

Marriage & Family Therapist