AMANDA VISSERING LPCC LMHC PPSC NPI 1972952042

NPI Information

  • NPI: 1972952042
  • Provider Name: AMANDA VISSERING, LPCC, LMHC, PPSC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 30 PROFESSIONAL CENTER PKWY
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (206) 572-0805

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NPI Details

Amanda Vissering, LPCC, LMHC, PPSC is a professional counselor in San Rafael, CA. Amanda Vissering, LPCC, LMHC, PPSC NPI is 1972952042. The provider is registered as an individual entity type.

The provider's business location address is:

30 PROFESSIONAL CENTER PKWY
SAN RAFAEL, CA
ZIP 94903-757
Phone: (206) 572-0805

The enumeration date for this NPI number is 6/8/2016 and was last updated on 12/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional8679CALIFORNIAYes
2101YM0800XCounselorMental HealthLH61129627WASHINGTONNo
3101YM0800XCounselorMental Health8679CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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