AMANDA BAUTISTA
NPI 1841655040
Counselor - Mental Health in San Mateo, CA

Active since December 15, 2015Opted out of Medicare · through Mar 6, 2028
1710 S AMPHLETT BLVD STE 314, SAN MATEO, CA 94402(650) 242-0179 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Bautista NPPES

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

AMANDA BAUTISTA (NPI 1841655040) is an individual mental health provider in San Mateo, California and active in the NPI registry since December 2015. She has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1841655040
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA BAUTISTA
Location Address1710 S AMPHLETT BLVD STE 314San Mateo, CA 94402-2736
Mailing Address1710 S Amphlett Blvd Ste 314San Mateo, CA 94402-2736
Sole ProprietorNo
Enumeration DateDecember 15, 2015
NPI 1841655040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1710 S AMPHLETT BLVD STE 314, San Mateo, CA 94402

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 Bautista 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 March 6, 2024 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2024
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 19

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

Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402
Behavior Technician
1710 S AMPHLETT BLVD STE 314
SAN MATEO, CA 94402

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 Amanda Bautista's NPI number?

The NPI number for Amanda Bautista is 1841655040. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Amanda Bautista located?

Amanda Bautista practices at 1710 S Amphlett Blvd Ste 314, San Mateo, CA 94402. The listed phone number is (650) 242-0179.

What is Amanda Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Bautista enrolled in Medicare?

No. Amanda Bautista has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Bautista was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.