MISS AMANDA MARIE MASTRUP MA, LMFT 93544 - NPI 1699026765 - Marriage & Family Therapist in Santa Rosa, CA

Q: What is Amanda Mastrup's NPI number?

The NPI number for Amanda Mastrup is 1699026765. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Q: What is Amanda Mastrup'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 Mastrup was last updated on July 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Miss Amanda Marie Mastrup Ma, Lmft 93544 NPPES

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

MISS AMANDA MARIE MASTRUP MA, LMFT 93544 (NPI 1699026765) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (93544) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699026765

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMISS AMANDA MARIE MASTRUPCredential: MA, LMFT 93544

Location Address1360 N DUTTON AVE, STE. 100Santa Rosa, CA 95401-4687

Mailing AddressPo Box 375Petaluma, CA 94953-0375 · (707) 529-0220

Phone(707) 529-0220

Sole ProprietorNo

Enumeration DateSeptember 28, 2012

Last NPPES UpdateJuly 28, 2016

✔ NPI 1699026765 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 · 93544

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.

1360 N DUTTON AVE, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Amanda Marie Mastrup Ma, Lmft 93544 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.