Organization Active NPI

Amanda Antenucci Counseling LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1144028002
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMANDA ANTENUCCI COUNSELING LLC
Practice address
8414 SW Barbur Blvd Ste 203
Portland, OR 97219-4018
Phone
(503) 893-5628
Fax
(503) 902-4528
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Authorized official

Name
Amanda Antenucci, LCSWNPI 1861570897
Title
Owner
Phone
(503) 893-5628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8414 SW Barbur Blvd Ste 203
Portland, OR 97219-4018

Mailing address

8414 SW Barbur Blvd Ste 203
Portland, OR 97219-4018
Phone (503) 893-5628

National Provider Directory

National Provider Directory

Locations

8414 SW Barbur Blvd
Ste 203
Portland, OR 97219
Phone (503) 893-5628

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1144028002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 SW BARBUR BLVD STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194018",
            "telephone_number": "503-893-5628",
            "fax_number": "503-902-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 SW BARBUR BLVD STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194018",
            "telephone_number": "503-893-5628",
            "fax_number": "503-902-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA ANTENUCCI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "ANTENUCCI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-893-5628",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.