Lara Simone D'Amore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3227 Issued in OR

Practice address

7420 SW Garden Home Rd Ste a
Portland, OR 97223-9599

Phone

(503) 877-4608

Fax

(971) 256-8856

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Simone D'Amore Other name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1104024249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW GARDEN HOME RD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239599",
            "telephone_number": "503-877-4608",
            "fax_number": "971-256-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 SW GARDEN HOME RD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239599",
            "telephone_number": "503-877-4608",
            "fax_number": "971-256-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMORE",
        "first_name": "LARA",
        "middle_name": "SIMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-08-08",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3227",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500654105",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "D'AMORE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Roland D'Amato, MD
• Victoria Marie D'Ambrogi, RN
• Alyse Marie D'Ambrosia, D.M.D.
• Dana Marie D'Amico, LMT
• Salvatore Michael D'Amico
• Magda Christina D'Angelis-Morris, D.M.D.
• Michael D D'Angelo, MA, LMFT-A
• Acacia Huynh D'Antoni
• Terra Elise D'Antonio Dudley, WHCNP
• Mary Nees D'Autremont, MA QMHP

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.