Individual provider Active NPI

Amanda Elaine Desmarais Bawcom

  • Counselor
  • Beaverton, OR
National Provider Identifier
1902694490
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488
Phone
(971) 249-2882
NPI assigned
Apr 25, 2025
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

6800 SW 105TH Ave Ste 101
Beaverton, OR 97008-5488

Mailing address

16317 SW Bridle Hills Dr
Beaverton, OR 97007-4927
Phone (503) 807-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Ground Counseling Inc Counselor CurrentSince Apr 27, 2025 Accepting new patients

Locations

6800 SW 105th Ave
Ste 101
Beaverton, OR 97008
Phone (971) 200-1966

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, 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": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1902694490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16317 SW BRIDLE HILLS DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970074927",
            "telephone_number": "503-807-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085488",
            "telephone_number": "971-249-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWCOM",
        "first_name": "AMANDA",
        "middle_name": "ELAINE DESMARAIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.