Individual provider Active NPI

Amy Nicole Cozad, LPC

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1922505767
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C10744 Issued in OR
Practice address
821 Saginaw St S
Salem, OR 97302-4121
Phone
(971) 600-8453
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C10744 OR Primary
Counselor 101Y00000X R6921 OR

Addresses

Primary practice location

821 Saginaw St S
Salem, OR 97302-4121

Mailing address

821 Saginaw St S
Salem, OR 97302-4121
Phone (971) 600-8453

Other names 1

  • Amy Nicole Cozad Professional name

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
I20260603003594 OR Practitioner - Mental Health Counselor 8022589746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2995 Ryan Dr SE
Suite 200
Salem, OR 97301-5157

821 Saginaw St S
Salem, OR 97302-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R6921ORMDCounselor
C10744ORMDProfessional Counselor

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1922505767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024121",
            "telephone_number": "971-600-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024121",
            "telephone_number": "971-600-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZAD",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10744",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R6921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "COZAD",
            "middle_name": "NICOLE",
            "credential": "AMY COZAD LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.