AMELIA ELIZABETH MACKLE (NPI# 1619219623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619219623 |
| Entity Type | Individual |
| Full Name | AMELIA ELIZABETH MACKLE |
| Credential | MSED, LPC |
| Practice Address |
8800 Se Sunnyside Rd Ste 257s Clackamas OR 97015-5738 |
| Practice Telephone | 3609908091 |
| Mailing Telephone | 3609908091 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
01266 | MN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C3281 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12636 Se Stark St, Plaza 125, Building J, Portland, OR 972331058 | 5032534600 |
| Street Address |
8800 SE SUNNYSIDE RD STE 257S |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215378047 | Andrea Hopkins | Counselor | 15300 Se Minuteman Way, Clackamas, OR 97015-9372 | 2013-07-09 |
| 1518005206 | Stacie Catherine Larson | Counselor | 9123 Se Saint Helens St Ste 270b, Clackamas, OR 97015-6801 | 2007-02-02 |
| 1124184759 | Heather Taplett | Counselor | 9123 Se Saint Helens St Ste 165, Clackamas, OR 97015-6801 | 2006-12-28 |
| 1073836805 | Alexis Storms Aiger | Counselor | 13568 Se 97th Ave, Suite 201, Clackamas, OR 97015-6670 | 2010-03-08 |
| 1881829141 | Jim W Velez | Counselor | 8305 Se Monterey Ave, Suite #220, Clackamas, OR 97086-7725 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649005 | Birgit Essl | Counselor | 925 Nw Wall St Ste 203, Bend, OR 97703-2052 | 2020-11-08 |
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1598362626 | Ascension Counseling LLC | Counselor | 15 Sw Colorado Ave Ste 127, Bend, OR 97702-1229 | 2020-10-01 |
| 1902413297 | Barbara Jenkins Jenkins Lehman | Counselor | 131 Nw Hawthorne Ave Ste 102, Bend, OR 97703-2957 | 2020-09-30 |
| 1326654021 | Lori Michelle Severson | Counselor | 12250 Sw 2nd St Ste B-103, Beaverton, OR 97005-2828 | 2020-09-17 |
| 1063020691 | Coastal Counseling & Consulting LLC | Counselor | 1638 N Coast Hwy, Newport, OR 97365-2357 | 2020-07-20 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1831707058 | Toni Lynn Bellinger | Counselor | 14523 Westlake Dr # 2, Lake Oswego, OR 97035-7700 | 2020-07-14 |
| 1831717800 | Marty Alan Michelson | Counselor | 609 Ne Baker St Ste 208, Mcminnville, OR 97128-4946 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.