Individual provider Active NPI

Amy L Warinner, LPC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1962953000
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6218 Issued in OR
Practice address
2445 NE Division St Ste 204
Bend, OR 97703-3568
Phone
(541) 229-2099
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X C6218 OR Primary

Addresses

Primary practice location

2445 NE Division St Ste 204
Bend, OR 97703-3568

Mailing address

2445 NE Division St Ste 204
Bend, OR 97703-3568
Phone (541) 668-4490

Other identifiers 1

IdentifierTypeStateIssuer
500725561MedicaidOR

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
I20241205003848 OR Practitioner - Mental Health Counselor 9638605249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6218ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling & Consulting LLC Professional CurrentSince Oct 8, 2024 Accepting new patients

Locations

2445 NE Division St
Ste 204
Bend, OR 97703
Phone (541) 229-2099

2445 NE Division St
Ste 204A
Bend, OR 97703

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1962953000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 NE DIVISION ST STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033568",
            "telephone_number": "541-668-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NE DIVISION ST STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033568",
            "telephone_number": "541-229-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARINNER",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500725561",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.