Active NPI
Amy Colleen Sanders, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1306210307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3386
- Practice address
- 712 SE Hawthorne Blvd
Portland, OR 97214-3538 - Phone
- (503) 860-9214
- NPI assigned
- Nov 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3386 | OR | Primary |
Addresses
Primary practice location
712 SE Hawthorne Blvd
Portland, OR 97214-3538
Mailing address
712 SE Hawthorne Blvd
Portland, OR 97214-3538
Phone (503) 860-9214
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 |
|---|---|---|---|
| C3386 | OR | MD | Professional Counselor |
Interoperability endpoints
- amy.sanders.1@32989.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447545600000",
"number": "1306210307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SE HAWTHORNE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143538",
"telephone_number": "503-860-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SE HAWTHORNE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143538",
"telephone_number": "503-860-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "AMY",
"middle_name": "COLLEEN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-15",
"last_updated": "2015-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3386",
"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 Nov 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.