AMARA COOPERSMITH M.A.
NPI 1689153348
Psychologist - Clinical in Camarillo, CA

Active since August 13, 2018PECOS Enrolled
1722 S LEWIS RD, CAMARILLO, CA 93012(805) 598-6702 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2023, Aug 6, 2020, Aug 13, 2018 (3 updates tracked since 2018).

About Amara Coopersmith M.a. NPPES

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

AMARA COOPERSMITH M.A. (NPI 1689153348) is an individual clinical provider in Camarillo, California, licensed in California (34621) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Van Nuys.

NPPES Registry Identity

NPI1689153348
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMARA COOPERSMITHCredential: M.A.
Location Address1722 S LEWIS RDCamarillo, CA 93012-8520
Mailing Address15339 Saticoy StVan Nuys, CA 91406-3345 · (818) 267-2647
Sole ProprietorNo
Enumeration DateAugust 13, 2018
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1689153348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34621
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
1722 S LEWIS RD, Camarillo, CA 93012

Secondary Practice Location 1

Location 115339 Saticoy StVan Nuys, CA 91406-3345 · Phone (818) 267-2647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amara Coopersmith M.a. 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 Amara Coopersmith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
4325 W SUNSET BLVD, 206
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.36 typical visit price
range $62.32 – $185.36
Typical copayment $46.34 (range $15.58 – $46.34)
Most-billed visit code 99205
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Psychologist
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Community Health Worker
1722 S LEWIS RD
CAMARILLO, CA 93012
Licensed Vocational Nurse
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Marriage & Family Therapist
1722 S LEWIS RD
CAMARILLO, CA 93012

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 Amara Coopersmith's NPI number?

The NPI number for Amara Coopersmith is 1689153348. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Amara Coopersmith located?

Amara Coopersmith practices at 1722 S Lewis Rd, Camarillo, CA 93012. The listed phone number is (805) 598-6702.

What is Amara Coopersmith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Amara Coopersmith enrolled in Medicare?

Yes. Amara Coopersmith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amara Coopersmith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amara Coopersmith reassigns Medicare benefits to Silver Lake Psychology Inc. (Los Angeles, 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 Amara Coopersmith'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 Amara Coopersmith was last updated on November 1, 2023. 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.