Active NPI
Lauren Rene Bellenbaum, LPC
- Mental Health Counselor
- Grants Pass, OR
National Provider Identifier
1013276757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 122 NE Beacon Dr
Grants Pass, OR 97526-3840 - Phone
- (541) 507-6400
- Fax
- (541) 500-0112
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Grants Pass, OR
- NPI 1073192654
Mental Health
-
- Psychiatry Physician
- Bend, OR
- NPI 1811484603
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transform Youth and Family Counseling, LLC | Mental Health | Current | Accepting new patients |
| Path to Awareness PC | Past | Accepting new patients |
Locations
122 NE Beacon Dr
Grants Pass, OR 97526
Phone (541) 224-6821
777 NE 7th St
Ste 205
Grants Pass, OR 97526
Phone (541) 507-6400
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
122 NE Beacon Dr
Grants Pass, OR 97526-3840
Mailing address
PO Box 4365
Medford, OR 97501-0168
Phone (541) 507-6400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2024.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1013276757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4365",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010168",
"telephone_number": "541-507-6400",
"fax_number": "541-500-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 NE BEACON DR",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263840",
"telephone_number": "541-507-6400",
"fax_number": "541-500-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLENBAUM",
"first_name": "LAUREN",
"middle_name": "RENE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
- Matthew Beeson, MD
- Hannalisa Gordon-Johnson Bekker, LAC, MACOM
- Michele Belcher, RPH
- Angela Elizabeth Belew Jensen, LCSW
- Roberta Marie Bell, NP
- Stephanie Benade
- Reymundo Benavidez, BS, QMHA
- Benchmark Physical Therapy of Oregon LLC
- Benchmark Physical Therapy of Oregon LLC
- Benchmark Physical Therapy of Oregon LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.