Ami Formica , MA, LPCA
Counselor - Professional • Bend, OR
Professional Overview & Biography Verified Profile Summary
Ami Formica, MA, LPCA is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 497 SW CENTURY DR STE 102 under active NPI credentials.
Practice Location & Contact Primary Location
497 Sw Century Dr Ste 102
Bend, OR 977021167
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Bend, OR
Practicing in Bend, OR (2601 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-07-29NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Master of Science, Licensed Professional Counselor, National Certified Counselor
Counselor - Professional
Master of Science, Licensed Professional Counselor
Psychologist
Doctor of Psychology (Psy.D.)
Marriage & Family Therapist
Licensed Marriage and Family Therapist
Counselor - Mental Health
Social Worker - Clinical
Licensed Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 497 SW CENTURY DR STE 102, BEND, OR 977021167 (Tel: 2012330293)
Registered at 497 SW CENTURY DR STE 102, BEND, OR 977021167 (Tel: 2012330293)
Recorded as AMI FORMICA, MA, LPCA
Counselor (License #R9764 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
497 Sw Century Dr Ste 102
Bend, OR 977021167
Phone: 2012330293
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.