Amanda M Black
Individual provider Active NPI Mental Health Counselor · Eugene, OR
NPI 1487201851 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1487201851
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 499 W 4TH Ave
Eugene, OR 97401-2505 - Phone
- (541) 505-5188
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
499 W 4TH Ave
Eugene, OR 97401-2505
Mailing address
1770 W 13TH Ave
Eugene, OR 97402-3721
Phone (541) 232-8626
Other providers in Eugene, OR
- Van Bivens
- Patricia Bixby-Campbell
- Galen R Bizovi
- Bria Elizabeth Bjornn
- Black Sheep Therapy LLC
- Laurie Carol Black
- Leeandra Raylene Black
- Stefanie Black
- Tim Black
- Blackbird Psychotherapy, LLC
All providers in Eugene, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.