Amy Kathryn Bordelon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1136 Issued in OR

Practice address

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560

Phone

(303) 880-0287

NPI assigned

Mar 22, 2016

Last updated

Feb 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1740642412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "303-880-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "303-880-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carepaths.com",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "371 SW Upper Terrace Dr Ste 3",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977021560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Boorstein, D.C.
• Sally Michelle Booster, RPH
• Robert Nicholas Boragno
• Harry Richard Borcherding II, PMHNP
• Douglas Grant Bordan, P.T.
• Peter Bordelon, PMHNP
• Thomas Carleton Bordieri, DMD
• Brooke Borgognoni
• Melvin Bornstein, D.C
• Borsting LLC

• Marriage & Family Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.