Organization Active NPI

Embodied Performance, LLC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1982468633
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jan 30, 2026

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, ACSNPI 1376815167
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.