Active NPIIndividual providerSole proprietor

Amanda M Black

Counselor, Mental Health in Eugene, Oregon

NPI Number1487201851
Practice location
499 W 4TH Ave, Eugene, OR 97401-2505
Fax
—
Last updated
August 21, 2019

Amanda M Black is a Counselor, Mental Health based in Eugene, OR. The NPI number for Amanda M Black is 1487201851. The current practice location address is 499 W 4TH Ave, Eugene, OR 97401-2505 and the office can be reached by phone at 541-505-5188. The NPI was assigned on August 21, 2019 and the record was last updated in NPPES on August 21, 2019.

●Provider Profile Details

NPI Number
1487201851
Provider Name
Amanda M Black
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
August 21, 2019
Last Update Date
August 21, 2019
NPI Status
Active

◉Business Practice Location Address

Address
499 W 4TH Ave
Eugene, OR 97401-2505
City
Eugene
State
Oregon
ZIP
97401-2505
Country
US
Phone Number
541-505-5188

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✉Business Mailing Address

Address
1770 W 13TH Ave
Eugene, OR 97402-3721
City
Eugene
State
OR
ZIP
97402-3721
Phone Number
541-232-8626

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Amanda M Black?

The NPI number of Amanda M Black is 1487201851. It was assigned on August 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Amanda M Black?

Amanda M Black is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Amanda M Black practice?

The practice location is 499 W 4TH Ave, Eugene, OR 97401-2505. The office can be reached at 541-505-5188 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487201851 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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