Individual provider Active NPI

Amber E Bathon, LPC, MAC

  • Mental Health Counselor
  • Saint Helens, OR
National Provider Identifier
1336313790
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2995 Issued in OR
Practice address
2370 Gable Rd
Saint Helens, OR 97051-2913
Phone
(800) 244-4870
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2995 OR Primary

Addresses

Primary practice location

2370 Gable Rd
Saint Helens, OR 97051-2913

Mailing address

PO Box 995
Saint Helens, OR 97051-0995
Phone (800) 244-4870

Other identifiers 1

IdentifierTypeStateIssuer
500641490MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260514000198 OR Practitioner - Mental Health Counselor 1254800758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2370 Gable Rd
Saint Helens, OR 97051-2913

9859 Graduate Driveway Unit
Suite 404
San Diego, CA 92131-2510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2995ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Health Services CurrentSince Jul 9, 2023 Accepting new patients

Locations

28168 Old Rainier Rd
Rainier, OR 97048
Phone (503) 556-2178

2370 Gable Rd
Saint Helens, OR 97051
Phone (503) 397-4651

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1336313790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510995",
            "telephone_number": "800-244-4870",
            "fax_number": "503-397-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 GABLE RD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512913",
            "telephone_number": "800-244-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHON",
        "first_name": "AMBER",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LPC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500641490",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.