Individual provider Active NPI

Helen Jean Feroli, LPC, CADC III

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1013658236
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6844 Issued in OR
Practice address
780 NW York Dr Ste 204
Bend, OR 97703-1055
Phone
(541) 668-6595
NPI assigned
Apr 3, 2022
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-21-1222 OR
Mental Health Counselor 101YM0800X 21-QMHP-R-0996 OR
Mental Health Counselor 101YM0800X C6844 OR Primary

Addresses

Primary practice location

780 NW York Dr Ste 204
Bend, OR 97703-1055

Mailing address

PO Box 1173
Bend, OR 97709-1173
Phone (541) 579-0418

Other names 1

  • Helen Jean Feroli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127001688 OR Practitioner - Mental Health Counselor 9830554245 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

780 NW York Dr
Suite 204
Bend, OR 97703-1055
Phone (541) 668-6595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-21-1222ORMDAddiction (Substance Use Disorder) Counselor
21-QMHP-R-0996ORMDMental Health Counselor
C6844ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Pine Therapy Mental Health Current Accepting new patients
Bigtree Behavioral Health Services LLC Addiction (Substance Use Disorder) CurrentSince Mar 5, 2023 Accepting new patients

Locations

780 NW York Dr
Ste 204
Bend, OR 97703
Phone (458) 451-5115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1013658236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091173",
            "telephone_number": "541-579-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NW YORK DR STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031055",
            "telephone_number": "541-668-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROLI",
        "first_name": "HELEN",
        "middle_name": "JEAN",
        "credential": "LPC, CADC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-21-1222",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "21-QMHP-R-0996",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "FEROLI",
            "middle_name": "JEAN",
            "credential": "HELEN JEAN OAKES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.