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AMANDA HOLDEN
NPI 1912208315
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since November 16, 2010Opted out of Medicare · through Jan 1, 2028
1312 SW WASHINGTON ST, PORTLAND, OR 97205(503) 535-1151 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Holden NPPES

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

AMANDA HOLDEN (NPI 1912208315) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since November 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1912208315
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA HOLDEN
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing AddressPo Box 3007Portland, OR 97208-3007
Phone(503) 535-1151
Sole ProprietorNo
Enumeration DateNovember 16, 2010
✔ NPI 1912208315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1312 SW WASHINGTON ST, Portland, OR 97205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Holden has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MS. HAYLEY MOORE
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. JACOB PERRY MA
Counselor
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
RALEIGH CRONRATH
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
NICOLE SWANSON LPN
Substance Abuse Rehabilitation Facility
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. ANTHONY LAMBRICHTS HAUCK CACD II
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1191
MRS. LINDSEY T MOSLEY
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
EDITH YVONNE ROBERTS REGISTERED NURSE
Registered Nurse
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MARANDA RAE BRAMBORA CRM
Peer Specialist
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1186

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 Holden's NPI number?

The NPI number for Amanda Holden is 1912208315. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Amanda Holden located?

Amanda Holden practices at 1312 SW Washington St, Portland, OR 97205. The listed phone number is (503) 535-1151.

What is Amanda Holden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Amanda Holden enrolled in Medicare?

No. Amanda Holden has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Holden was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.