MS. AMANDA LYN KING LMFT
NPI 1780956136
Marriage & Family Therapist in Stockton, CA

Q: What is Amanda King's NPI number?

The NPI number for Amanda King is 1780956136. It was assigned to this individual provider in the NPPES registry on February 1, 2012. The provider is also known as Amanda Lyn Ashworth Lmft.

Q: What is Amanda King'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 King was last updated on January 11, 2022. 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.

Active since February 01, 2012PECOS Enrolled

1305 TOMMYDON ST, STOCKTON, CA 95210(209) 476-5490(209) 476-3528 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Apr 29, 2021, Oct 31, 2017 (3 updates tracked since 2017).

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About Ms. Amanda Lyn King Lmft NPPES

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

MS. AMANDA LYN KING LMFT (NPI 1780956136) is an individual marriage & family therapist in Stockton, California, licensed in California (93405) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780956136

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. AMANDA LYN KINGCredential: LMFT

Location Address1305 TOMMYDON STStockton, CA 95210-3364

Mailing Address1305 Tommydon StStockton, CA 95210-3364 · (209) 476-5490 · Fax (209) 476-3528

Phone(209) 476-5490

Fax(209) 476-3528

Sole ProprietorNo

Enumeration DateFebruary 1, 2012

Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration

NPPES CertifiedApril 29, 2021

✔ NPI 1780956136 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 · 93405

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.

1305 TOMMYDON ST, Stockton, CA 95210

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Other Names 1

Other Name (5)Amanda Lyn Ashworth Lmft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amanda Lyn King Lmft 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.

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.

MARK ALLEN BOURASSA

Counselor (Professional)