Individual provider Active NPI

Amy Camille Tipton, LCPC

  • Professional Counselor
  • Harrisburg, OR
National Provider Identifier
1811335441
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4532 Issued in MT
Practice address
33132 Coleman Rd
Harrisburg, OR 97446-9403
Phone
(406) 698-5471
NPI assigned
Jun 5, 2013
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 4532 MT Primary

Addresses

Primary practice location

33132 Coleman Rd
Harrisburg, OR 97446-9403

Mailing address

33132 Coleman Rd
Harrisburg, OR 97446-9403
Phone (406) 698-5471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250627002488 OR Practitioner - Mental Health Counselor 3577887009
I20260217003444 TX Practitioner - Mental Health Counselor 3577887009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cow Creek Band of Umpqua Tribe of IndiansGroup PAC ID 8921099474, 21 clinicians

Practice addresses (Care Compare)

500 SE Cass Ave
Suite 110
Roseburg, OR 97470-3165
Phone (541) 677-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cow Creek Band of Umpqua Tribe of Indians CurrentSince Jan 20, 2026 Accepting new patients
Amy Camille Tipton Professional CurrentSince Jun 25, 2023 Accepting new patients
Cow Creek Band of Umpqua Tribe of Indians PastSince Aug 8, 2021 Accepting new patients
Roosevelt County PastSince Aug 1, 2019 Accepting new patients
Eastern Montana Community Mental Health Center Mental Health PastSince Aug 1, 2019 Accepting new patients

Locations

500 SE Cass Ave
Ste 110
Roseburg, OR 97470
Phone (541) 677-5520

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1811335441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33132 COLEMAN RD",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "974469403",
            "telephone_number": "406-698-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33132 COLEMAN RD",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "974469403",
            "telephone_number": "406-698-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "AMY",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, OR

Sources for this page

Verify at the official NPI Registry.