Amy L Tanikawa, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2019 Issued in OR

Practice address

500 Liberty St SE Ste 301
Salem, OR 97301-3884

Phone

(503) 361-1233

NPI assigned

Sep 26, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Horizons Psychiatric Group LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Redmond, OR
  • NPI 1629724695
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1255054169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LIBERTY ST SE STE 301",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013884",
            "telephone_number": "503-361-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LIBERTY ST SE STE 301",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013884",
            "telephone_number": "503-361-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIKAWA",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OR",
            "license": "C2019",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echo Tallerday
• Adam Tallinger, R.PH.
• Carlos A Taloyo, PHD
• Henry Tang
• Robin Anne Tangredi, MS FNP-C.
• Laura Christine Tanner
• Matthew Tanner, PHARM.D.
• Tanya Fountain LLC
• William I Tapley, COUNSELOR
• Tiffera Rozzelle Tarbox

• Professional Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.