Active NPI
Embodied Performance, LLC
- Professional Counselor
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EMBODIED PERFORMANCE, LLC
- Practice address
- 2542 NE Courtney Dr Ste 200F
Bend, OR 97701-7684 - Phone
- (541) 515-5213
- NPI assigned
- Feb 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy O'Hana, PHD, LPC, ACS
- Title
- Owner/Clinical Director
- Phone
- (541) 515-5213
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2542 NE Courtney Dr Ste 200F
Bend, OR 97701-7684
Mailing address
61141 S Hwy 97
PMB 162
Bend, OR 97702-2523
Phone (541) 515-5213
Other practice location 1
753 SW 11th St Apt A
Redmond, OR 97756-2632
Phone (541) 515-5213
National Provider Directory
National Provider DirectoryLocations
2542 NE Courtney Dr
Ste 200F
Bend, OR 97701
Phone (541) 515-5213
61690 Pettigrew Rd
Bend, OR 97702
Phone (541) 617-0377
753 SW 11th St
Apt A
Redmond, OR 97756
Phone (541) 515-5213
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Bend, OR
- NPI 1376815167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1982468633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61141 S HWY 97",
"address_2": "PMB 162",
"city": "BEND",
"state": "OR",
"postal_code": "977022523",
"telephone_number": "541-515-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 NE COURTNEY DR STE 200F",
"city": "BEND",
"state": "OR",
"postal_code": "977017684",
"telephone_number": "541-515-5213"
}
],
"practiceLocations": [
{
"address_1": "753 SW 11th St Apt A",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977562632",
"country_code": "US",
"telephone_number": "541-515-5213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EMBODIED PERFORMANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-12",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "O'HANA",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "541-515-5213",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC, ACS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.