Active NPIIndividual provider

Amanda Allen, QMHA-R, CADC-R

Counselor, Mental Health in Sutherlin, Oregon

NPI Number1629775812
Practice location
352 S Calapooia St Ste B, Sutherlin, OR 97479-9558
Fax
—
Last updated
March 8, 2024

Amanda Allen, QMHA-R, CADC-R is a Counselor, Mental Health based in Sutherlin, OR. Amanda Allen, QMHA-R, CADC-R holds the professional credentials of QMHA-R, CADC-R. The NPI number for Amanda Allen, QMHA-R, CADC-R is 1629775812 and holds license No. T-21-742 (OR). The current practice location address is 352 S Calapooia St Ste B, Sutherlin, OR 97479-9558 and the office can be reached by phone at 541-485-2711. The NPI was assigned on February 8, 2023 and the record was last updated in NPPES on March 8, 2024.

●Provider Profile Details

NPI Number
1629775812
Provider Name
Amanda Allen
Credential
QMHA-R, CADC-R
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
February 8, 2023
Last Update Date
March 8, 2024
Certification Date
March 8, 2024
NPI Status
Active

◉Business Practice Location Address

Address
352 S Calapooia St Ste B
Sutherlin, OR 97479-9558
State
Oregon
ZIP
97479-9558
Country
US
Phone Number
541-485-2711

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✉Business Mailing Address

Address
1255 Pearl St
Eugene, OR 97401-3570
City
Eugene
State
OR
ZIP
97401-3570
Phone Number
417-995-3865

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XNoT-21-742OR
Counselor, Mental Health101YM0800XYes23-QMHA-R-3708OR

#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 Allen, QMHA-R, CADC-R?

The NPI number of Amanda Allen, QMHA-R, CADC-R is 1629775812. It was assigned on February 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Amanda Allen, QMHA-R, CADC-R?

Amanda Allen, QMHA-R, CADC-R is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. T-21-742 (OR).

Where does Amanda Allen, QMHA-R, CADC-R practice?

The practice location is 352 S Calapooia St Ste B, Sutherlin, OR 97479-9558. The office can be reached at 541-485-2711 (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 1629775812 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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