Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Vissering, LPCC, LMHC, PPSC

Individual provider Professional Counselor · NPI 1972952042

Amanda Vissering, LPCC, LMHC, PPSC is a Mental Health Counselor in San Rafael, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
10
Licensed in
CA, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

30 Professional Center Pkwy
San Rafael, CA 94903-2757
Phone: (206) 572-0805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 445 Bellevue Ave Ste 6c, Oakland, CA 94610-4923 — (206) 317-4417

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8679 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH61129627 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8679 (CA)

Record details

NPI number1972952042
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LPCC , LMHC , PPSC
Sole proprietorYes
NPI enumeratedJune 8, 2016
Last updated in NPPESDecember 21, 2024
Certification dateDecember 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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