Individual provider Active NPI

Amy O'Hana, PHD, LPC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1376815167
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3682 Issued in OR
Practice address
2542 NE Courtney Dr Ste 200F
Bend, OR 97701-7684
Phone
(541) 515-5213
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C3682 OR Primary

Addresses

Primary practice location

2542 NE Courtney Dr Ste 200F
Bend, OR 97701-7684

Mailing address

61141 S Hwy 97
PMB 162
Bend, OR 97702-2523
Phone (541) 515-5213

Other practice location 1

753 SW 11th St Apt A
Redmond, OR 97756-2632
Phone (541) 515-5213

Other names 1

  • Dr. Amy Elizabeth Ford Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C3682ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embodied Performance, LLC Professional CurrentSince Feb 18, 2024 Accepting new patients

Locations

2542 NE Courtney Dr
Ste 200F
Bend, OR 97701
Phone (541) 515-5213

61690 Pettigrew Rd
Bend, OR 97702
Phone (541) 617-0377

61141 S Highway 97
Bend, OR 97702
Phone (541) 803-3730

753 SW 11th St
Apt A
Redmond, OR 97756
Phone (541) 515-5213

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1376815167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61141 S HWY 97",
            "address_2": "PMB 162",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022523",
            "telephone_number": "541-515-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 NE COURTNEY DR STE 200F",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017684",
            "telephone_number": "541-515-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "753 SW 11th St Apt A",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977562632",
            "country_code": "US",
            "telephone_number": "541-515-5213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HANA",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FORD",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PHD, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.