Individual provider Active NPI

Amy Dineen, LMFT

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1952663387
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1654 Issued in OR
Practice address
62930 O B Riley Rd Ste 200
Bend, OR 97703-9459
Phone
(541) 330-1919
Fax
(541) 868-2003
NPI assigned
Jun 12, 2012
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1654 OR Primary
Marriage & Family Therapist 106H00000X 101569 CA

Addresses

Primary practice location

62930 O B Riley Rd Ste 200
Bend, OR 97703-9459

Mailing address

399 E 10TH Ave
Eugene, OR 97401-3380
Phone (541) 330-1919

Other practice location 1

1000 S Main St Ste 210B
Salinas, CA 93901-2354
Phone (831) 784-2108

Other practice location 2

45 NW Greeley Ave
Bend, OR 97703-2943
Phone (541) 204-8836

Other practice location 3

360 SW Bond St Ste 330
Bend, OR 97702-3556
Phone (541) 706-2768

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adineen147776@secure.stcharleshealthcare.org

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
I20240801000900 OR Practitioner - Marriage and Family Therapist 3274909759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Charles Health System IncGroup PAC ID 3870402852, 174 clinicians

Practice addresses (Care Compare)

360 SW Bond St
Suite 330
Bend, OR 97702-3556
Phone (541) 706-2768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101569CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jul 17, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jul 17, 2024 Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

360 SW Bond St
Ste 330
Bend, OR 97702
Phone (541) 706-6777

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

Interoperability endpoints

  • Direct secure messaging: adineen147776@secure.stcharleshealthcare.org

Organizations & group practices 6

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1952663387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013380",
            "telephone_number": "541-330-1919",
            "fax_number": "541-868-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62930 O B RILEY RD STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039459",
            "telephone_number": "541-330-1919",
            "fax_number": "541-868-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Main St Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012354",
            "country_code": "US",
            "telephone_number": "831-784-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 NW Greeley Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032943",
            "country_code": "US",
            "telephone_number": "541-204-8836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 SW Bond St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023556",
            "country_code": "US",
            "telephone_number": "541-706-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINEEN",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1654",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adineen147776@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "360 SW Bond St Ste 330",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977023556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.