Amy Myleen Davis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C6137 Issued in OR

Practice address

1901 Garden Ave Ste 206
Eugene, OR 97403-1934

Phone

(541) 205-9168

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Cedar Moon Therapy

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1578303046
  NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1619492303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770064",
            "telephone_number": "541-205-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 GARDEN AVE STE 206",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031934",
            "telephone_number": "541-205-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "MYLEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig J Davidson, M.D.
• John Robert Davidson, M.S.
• Sidney D. Davidson, M.D.
• Meghan Davies
• Reonna McKibben Davies
• Charles Laurie Davis, MD
• Darcy Davis, R.D.H.
• Dianne E. Davis, L.M.T.
• Divina Davis
• Elizabeth Davis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.