Amanda Wruble, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

24-QMHPC-001405 Issued in OR

Practice address

1200 Hilyard St Ste 420
Eugene, OR 97401-8161

Phone

(458) 205-6444

Fax

(458) 205-6440

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

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.

• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287

  Counselor

  Medicare reassignment NPD
• Oakes Children's Center, Inc

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1932277308
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1568839215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TREAT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105234",
            "telephone_number": "451-641-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 420",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018161",
            "telephone_number": "458-205-6444",
            "fax_number": "458-205-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Treat Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941105234",
            "country_code": "US",
            "telephone_number": "451-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRUBLE",
        "first_name": "AMANDA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "24-QMHPC-001405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Rae Wright, QMHA
• Charlotte D Writer, PNP
• Angela Vivienne Writesman, P.S.S.
• Jennifer Wroblewski
• Joshua Wrolstad
• Duan-Ching Wu
• Sandra Jones Wu, MD
• Tzu-Chin Wu
• Megan A Wuest, MS LPA
• Thomas Wuest, MD

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, 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 Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.