AMANDA EGAN
NPI 1104055003
Counselor in Salem, OR

Q: What is Amanda Egan's NPI number?

The NPI number for Amanda Egan is 1104055003. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Q: What is Amanda Egan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Egan was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment

3000 MARKET ST NE STE 530, SALEM, OR 97301(503) 390-5637 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Amanda Egan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA EGAN (NPI 1104055003) is an individual counselor in Salem, Oregon and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104055003

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMANDA EGAN

Location Address3000 MARKET ST NE STE 530Salem, OR 97301-1835

Mailing Address2532 Gould AveMedford, OR 97504-4819 · (541) 840-1511

Phone(503) 390-5637

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 13, 2009

✔ NPI 1104055003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3000 MARKET ST NE STE 530, Salem, OR 97301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Egan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264763622

PECOS Enrollment IDI20240102003737

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Egan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santiam Memorial Hospital

9.9 mi

Primary Care

205 MAIN ST
Aumsville, OR 97325

Reassigned Medicare billing, Oregon enrollment
152 clinicians in this Medicare group

NPI 1558404103 (503) 749-4734

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI JO WINGO

Counselor