AMANDA ELIZABETH GIBBON
NPI 1689802472
Marriage & Family Therapist in Oakland, CA

Q: What is Amanda Gibbon's NPI number?

The NPI number for Amanda Gibbon is 1689802472. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Amanda Gibbon's specialty?

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

Q: Is Amanda Gibbon enrolled in Medicare?

No. Amanda Gibbon has opted out of Medicare through July 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Gibbon was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 30, 2009Opted out of Medicare · through Jul 9, 2027

8750 MOUNTAIN BLVD BLDG 69, OAKLAND, CA 94605(510) 317-1444 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Elizabeth Gibbon NPPES

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

AMANDA ELIZABETH GIBBON (NPI 1689802472) is an individual marriage & family therapist in Oakland, California, licensed in California (51387) and active in the NPI registry since June 2009. She has opted out of Medicare through July 9, 2027.

NPPES Registry Identity

NPI1689802472

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA ELIZABETH GIBBON

Location Address8750 MOUNTAIN BLVD BLDG 69Oakland, CA 94605-4500

Mailing Address8750 Mountain Blvd Bldg 69Oakland, CA 94605-4500 · (510) 317-1444

Phone(510) 317-1444

Sole ProprietorNo

Enumeration DateJune 30, 2009

Last NPPES UpdateApril 24, 2012

✔ NPI 1689802472 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 · 51387

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.

8750 MOUNTAIN BLVD BLDG 69, Oakland, CA 94605

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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 Elizabeth Gibbon 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 July 9, 2025 through July 9, 2027.

Opt-Out Effective DateJuly 9, 2025

Opt-Out In Effect ThroughJuly 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

ELLA YVONNE BELL

Counselor (Mental Health)