Individual provider Active NPI

Amanda Christopherson, PCA

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1407500671
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R12236 Issued in OR
Practice address
825 NE 20TH Ave Ste 120
Portland, OR 97232-2268
Phone
(971) 337-3456
Fax
(866) 324-6009
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 R12236 OR Primary

Addresses

Primary practice location

825 NE 20TH Ave Ste 120
Portland, OR 97232-2268

Mailing address

1500 NE 15TH Ave
Apt 251
Portland, OR 97232-2275
Phone (503) 616-8545

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

State licenses

LicenseStateTypeSpecialty
R12236ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightspire Health, LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

825 NE 20th Ave
Ste 120
Portland, OR 97232
Phone (971) 229-4009

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1407500671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NE 15TH AVE",
            "address_2": "APT 251",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322275",
            "telephone_number": "503-616-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 20TH AVE STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322268",
            "telephone_number": "971-337-3456",
            "fax_number": "866-324-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "AMANDA",
        "credential": "PCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R12236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.