Individual provider Active NPI

Amber Lane Craig, PCA, QMHP

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1366111866
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C10538 Issued in OR
Practice address
2415 SE 43Rd Ave
Portland, OR 97206-1602
Phone
(503) 208-3623
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R6998 OR
Professional Counselor 101YP2500X C10538 OR Primary

Addresses

Primary practice location

2415 SE 43Rd Ave
Portland, OR 97206-1602

Mailing address

905 SE 14TH Ave
Portland, OR 97214-2549
Phone (503) 622-8964

Other practice location 1

905 SE 14th Ave
Portland, OR 97214-2549
Phone (503) 622-8964

Other practice location 2

2130 SW Jefferson St Ste 200
Portland, OR 97201-7710
Phone (971) 266-6910

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
I20251014000934 OR Practitioner - Mental Health Counselor 9537656657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

535 NE 6TH Ave
Estacada, OR 97023-9312
Phone (503) 630-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R6998ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, P.C. CurrentSince Oct 25, 2025 Accepting new patients
Orchid Oakridge Clinic, PC CurrentSince Oct 25, 2025 Accepting new patients
Cascadia Health CurrentSince Sep 22, 2025 Accepting new patients
Orchid Oakridge Clinic, P.C. Current Accepting new patients
Cascadia Health CurrentSince Sep 22, 2025 Accepting new patients
Larsen Sanchez Psychology, LLC PastSince Nov 12, 2023 Accepting new patients

Locations

535 NE 6th Ave
Estacada, OR 97023
Phone (503) 630-8550

4212 SE Division St
Ste 100
Portland, OR 97206
Phone (503) 238-0705

707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

Interoperability endpoints

  • Direct secure messaging: amber.craig.1@31614.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1366111866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142549",
            "telephone_number": "503-622-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061602",
            "telephone_number": "503-208-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 SE 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142549",
            "country_code": "US",
            "telephone_number": "503-622-8964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 SW Jefferson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972017710",
            "country_code": "US",
            "telephone_number": "971-266-6910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "AMBER",
        "middle_name": "LANE",
        "credential": "PCA, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6998",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.