Healthcare Provider Details

I. General information

NPI: 1063994176
Provider Name (Legal Business Name): AMY HOPKINSON LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61141 S HIGHWAY 97 STE 723
BEND OR
97702-2523
US

IV. Provider business mailing address

61141 S HIGHWAY 97 STE 723
BEND OR
97702-2523
US

V. Phone/Fax

Practice location:
  • Phone: 541-803-3730
  • Fax:
Mailing address:
  • Phone: 541-803-3730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC11588
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0017907
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12254
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: