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AMY KILEEN BLACK
NPI 1801090840
Counselor - Mental Health in Portland, OR

Active since June 13, 2007
5331 S MACADAM AVE STE 287, PORTLAND, OR 97239(503) 635-3416 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Dec 22, 2022 (2 updates tracked since 2022).

About Amy Kileen Black NPPES

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

AMY KILEEN BLACK (NPI 1801090840) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1801090840
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY KILEEN BLACK
Location Address5331 S MACADAM AVE STE 287Portland, OR 97239-3849
Mailing Address5331 S Macadam Ave Ste 287Portland, OR 97239-3849 · (503) 635-3416
Phone(503) 635-3416
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1801090840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5331 S MACADAM AVE STE 287, Portland, OR 97239
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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.

DANIEL KEIFALA SWARAY
Social Worker (Clinical)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
ALEC PASCUAL LARRAZA
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
TATE BEERS
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
FRAN ZOLDYCK
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
SIERRALAND LUNA NITA GALE
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
KYLE SANTIAGO MCBRIDE
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
ETHAN BULISCO
Peer Specialist
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416
LILYANA JULIETTE DOUPE
Counselor (Mental Health)
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239
Multnomah County (503) 635-3416

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 Amy Black's NPI number?

The NPI number for Amy Black is 1801090840. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Amy Black located?

Amy Black practices at 5331 S Macadam Ave Ste 287, Portland, OR 97239. The listed phone number is (503) 635-3416.

What is Amy 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 Amy Black was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.