Active NPI
Amber R Espino-Barnes, CADC II/QMHP-C
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1033645429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18-11-13
- Practice address
- 17645 NW Saint Helens Rd
Portland, OR 97231-1729 - Phone
- (503) 621-1069
- Fax
- (503) 621-0200
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19-QMHPC-00048 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18-11-13 | OR | Primary |
Addresses
Primary practice location
17645 NW Saint Helens Rd
Portland, OR 97231-1729
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044
Other practice location 1
11540 NE Inverness Dr
Portland, OR 97220-9002
Phone (503) 988-4716
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500733623 | Medicaid | OR | |
| 500735560 | Medicaid | OR |
Other names 1
- Amber R Schumann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-QMHPC-00048 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1033645429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17645 NW SAINT HELENS RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972311729",
"telephone_number": "503-621-1069",
"fax_number": "503-621-0200"
}
],
"practiceLocations": [
{
"address_1": "11540 NE Inverness Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972209002",
"country_code": "US",
"telephone_number": "503-988-4716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPINO-BARNES",
"first_name": "AMBER",
"middle_name": "R",
"credential": "CADC II/QMHP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "19-QMHPC-00048",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "18-11-13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500733623",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500735560",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "SCHUMANN",
"middle_name": "R",
"credential": "CADC II/QMHP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.