IndividualActive
Amanda Vissering, LPCC, LMHC, PPSC
NPI 1972952042 · Professional Counselor · San Rafael, CA
Provider details
- NPI number
- 1972952042
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC, LMHC, PPSC
- Sole proprietor
- Yes
- License
- 8679 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Professional Center Pkwy
San Rafael, CA 94903-2757
Phone: (206) 572-0805
Street-level locationGet directions
Mailing address
8945 Golf Links Rd
Oakland, CA 94605-4124
Additional practice locations (1)
- 445 Bellevue Ave Ste 6cOakland, CA 94610-4923Phone: (206) 317-4417
Registry dates
- Enumerated
- 2016-06-08
- Last updated
- 2024-12-21
- Certified
- 2024-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.