Active NPI
Amy Beth Terry, MA, LPC-I
- Mental Health Counselor
- Saint Helens, OR
National Provider Identifier
1376898619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 58646 McNutty Way
St. Helens, OR 97051 - Phone
- (503) 397-5211
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
58646 McNutty Way
St. Helens, OR 97051
Mailing address
58646 McNutty Way
St. Helens, OR 97051
Phone (503) 397-5211
Other practice location 1
621 W Madrone St
Roseburg, OR 97470-3090
Phone (541) 440-3532
Other practice location 2
106 SW Woods St
Portland, OR 97201-4739
Phone (503) 567-2536
Other practice location 3
8645 SE Sunnybrook Blvd Ste 200
Clackamas, OR 97015-6841
Phone (503) 659-1694
Other names 1
- Amy Beth Edgerly
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1376898619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58646 MCNUTTY WAY",
"city": "ST. HELENS",
"state": "OR",
"postal_code": "97051",
"telephone_number": "503-397-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58646 MCNUTTY WAY",
"city": "ST. HELENS",
"state": "OR",
"postal_code": "97051",
"telephone_number": "503-397-5211"
}
],
"practiceLocations": [
{
"address_1": "621 W Madrone St",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974703090",
"country_code": "US",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 SW Woods St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972014739",
"country_code": "US",
"telephone_number": "503-567-2536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8645 SE Sunnybrook Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970156841",
"country_code": "US",
"telephone_number": "503-659-1694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "AMY",
"middle_name": "BETH",
"credential": "MA, LPC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "EDGERLY",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.