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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

AMI FORMICA MA, LPCA
NPI 1629990528
Counselor - Professional in Bend, OR

Active since July 29, 2026
497 SW CENTURY DR STE 102, BEND, OR 97702(201) 233-0293 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ami Formica Ma, Lpca NPPES

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

AMI FORMICA MA, LPCA (NPI 1629990528) is an individual professional provider in Bend, Oregon, licensed in Oregon (R9764) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1629990528
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMI FORMICACredential: MA, LPCA
Location Address497 SW CENTURY DR STE 102Bend, OR 97702-1167
Mailing Address497 Sw Century Dr Ste 102Bend, OR 97702-1167 · (201) 233-0293
Phone(201) 233-0293
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1629990528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · R9764
497 SW CENTURY DR STE 102, Bend, OR 97702
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Other Providers at the Same Location NPPES 11

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

KRISTI HOLMBERG
Social Worker (Clinical)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (458) 292-9972
SUSAN KOLB, INC
Counselor (Mental Health)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 550-8008
RIVERBEND FAMILY COUNSELING
Marriage & Family Therapist
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 896-1098
MRS. JANET G. MCKEE MS, LPC, NCC
Counselor (Mental Health)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 383-0803
SUSAN KOLB MS, LPC
Counselor (Professional)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 550-8008
SARA VICE DOWNING PSY.D.
Psychologist
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 668-6889
TERRI LYNN MERRITT LMFT
Marriage & Family Therapist
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 896-1098
TRACY LYNN PAUL
Counselor (Mental Health)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 419-4518

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 Ami Formica's NPI number?

The NPI number for Ami Formica is 1629990528. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Ami Formica located?

Ami Formica practices at 497 SW Century Dr Ste 102, Bend, OR 97702. The listed phone number is (201) 233-0293.

What is Ami Formica's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ami Formica was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.