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AMANDA BLACK
NPI 1518859958
Counselor - Mental Health in Medford, OR

Active since July 18, 2025
200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Amanda Black NPPES

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

AMANDA BLACK (NPI 1518859958) is an individual mental health provider in Medford, Oregon and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1518859958
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA BLACK
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1518859958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BEATTY ST, Medford, OR 97501
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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.

KATHERINE LEONIS RN
Registered Nurse
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SCOTT WILLISTON MS, QMHP
Counselor (Professional)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-3302
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Black's NPI number?

The NPI number for Amanda Black is 1518859958. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Amanda Black located?

Amanda Black practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Amanda Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Black was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.