Individual provider Active NPI

Amy Loree Hulbert, M.A., LPC

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1811138498
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6572 Issued in OR
Practice address
3003 Willamette St
Eugene, OR 97405-3241
Phone
(541) 510-6515
Fax
(888) 776-9544
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6572 OR Primary

Addresses

Primary practice location

3003 Willamette St
Eugene, OR 97405-3241

Mailing address

PO Box 5754
Eugene, OR 97405-0754
Phone (541) 510-6515

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240815001546 OR Practitioner - Mental Health Counselor 7214475730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Direction Service CurrentSince Jul 1, 2024 Accepting new patients

Locations

576 Olive St
Ste 307
Eugene, OR 97401
Phone (541) 344-7303

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/directionservice/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1811138498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5754",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050754",
            "telephone_number": "541-510-6515",
            "fax_number": "888-776-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053241",
            "telephone_number": "541-510-6515",
            "fax_number": "888-776-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "AMY",
        "middle_name": "LOREE",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.