Amy Amanda Lou Freer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C10858 Issued in OR

Practice address

7555 SW Hermoso Way Ste 120
Tigard, OR 97223-8684

Phone

(503) 345-3260

NPI assigned

Jul 22, 2015

Reactivated

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Psychology & Wellness Group PDX LLC

  dba Psychology & Wellness Group PDX

  • Professional Counselor
  • Tigard, OR
  • NPI 1306315965
  NPD
• Janus Youth Programs

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
  • NPI 1912331646
  NPD (past)
• Janus Youth Programs, Inc.

  • Voluntary or Charitable Agency
  • Portland, OR
  • NPI 1003248642
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1386029171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "address_2": "STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "503-782-6317",
            "fax_number": "503-345-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "503-345-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREER",
        "first_name": "AMY",
        "middle_name": "AMANDA LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "deactivation_date": "2022-07-25",
        "reactivation_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10858",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "OR",
            "license": "22-397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kay Fredericks, PHARM D
• Catherine Fredrickson, MA, CCC-SLP
• Eric Scott Freedle, O.D.
• Lisa Ann Freeman, PT
• Tiara Freeman
• Thomas D Freese
• Tiffany Freitas, REGISTERED NURSE
• Grant V Frey Jr.
• Monika B Friend, LCSW
• Audrey Frison

• Professional Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.