Active NPI
Ryan F Reese, PHD
- Professional Counselor
- Bend, OR
National Provider Identifier
1013202290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3957
- Practice address
- 925 NW Wall St
Bend, OR 97703-2052 - Phone
- (541) 241-6575
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R2951 | OR | |
| Professional Counselor | 101YP2500X | C3957 | OR | Primary |
Addresses
Primary practice location
925 NW Wall St
Bend, OR 97703-2052
Mailing address
925 NW Wall St
Bend, OR 97703-2052
Phone (541) 241-6575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3957 | OR | MD | Professional Counselor |
| R2951 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecowellness Counseling & Consulting LLC | Professional | Current | Accepting new patients |
Locations
925 NW Wall St
Bend, OR 97703
Phone (503) 432-6168
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Bend, OR
- NPI 1538874979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1013202290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 NW WALL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977032052",
"telephone_number": "541-241-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 NW WALL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977032052",
"telephone_number": "541-241-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "RYAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R2951",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.