Amanda Ann Roberson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16110 SW Regatta LN
Beaverton, OR 97006-8942

Phone

(503) 405-9765

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Firefly Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OR
  • NPI 1326482563
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922521525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 SW CANYON WREN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970071392",
            "telephone_number": "775-742-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 SW REGATTA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068942",
            "telephone_number": "503-405-9765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 NE Belknap Ct Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245115",
            "country_code": "US",
            "telephone_number": "503-560-5822",
            "fax_number": "888-503-2864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Rivera, DO
• Paula Rivera, D.C., LMT
• Molly Elizabeth Roach, BCBA
• Brittany Robards
• Diane Robbins-Luce, O.D.
• Jennifer Lynda Roberson, WHCNP
• Robert S. Rath M.D.,P.C.
• Bryce Roberts
• Candice Renee Roberts, LMT
• Dalynn Roberts

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.