Amy Dahla, LPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AMY DAHLA, LPC, LLC

Doing business as

Amy Dahla, LPC, LLC

Practice address

2355 State St Ste 101
Salem, OR 97301-4541

Phone

(541) 363-7309

NPI assigned

Dec 22, 2023

Last updated

Dec 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy DahlaNPI 1598133415

Title

Member

Phone

(541) 363-7309

Specialties & licenses 1

Addresses

Other names 1

• Amy Dahla, LPC, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Dahla, LPC, LPCC

  • Professional Counselor
  • Medford, OR
  • NPI 1598133415
  NPD Authorized official

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1427827062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 SISKIYOU BLVD # 518",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202336",
            "telephone_number": "541-363-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "541-363-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY DAHLA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "DAHLA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-363-7309"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Dahla, LPC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.