Organization Active NPI

Moving Strides, LLC.

  • Adult Mental Health Clinic/Center
  • Bend, OR
National Provider Identifier
1033702196
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MOVING STRIDES, LLC.
Practice address
60575 Billadeau Rd
Bend, OR 97702-9338
Phone
(541) 904-0026
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Lisa M Bradley
Title
Owner
Phone
(458) 206-0337

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

60575 Billadeau Rd
Bend, OR 97702-9338

Mailing address

61843 Dobbin Rd
Bend, OR 97702-9536
Phone (303) 956-1427

Other practice location 1

1183 NW Wall St Ste F
Bend, OR 97703-1942
Phone (458) 206-0337

Other names 1

  • Moving Strides, LLC. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://movingstrides.clientsecure.me

National Provider Directory

National Provider Directory

Locations

1183 NW Wall St
Ste F
Bend, OR 97703
Phone (458) 206-0337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1033702196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61843 DOBBIN RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029536",
            "telephone_number": "303-956-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60575 BILLADEAU RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029338",
            "telephone_number": "541-904-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1183 NW Wall St Ste F",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977031942",
            "country_code": "US",
            "telephone_number": "458-206-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVING STRIDES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "458-206-0337"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://movingstrides.clientsecure.me",
            "affiliation": "N",
            "address_1": "61843 Dobbin Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977029536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Moving Strides, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moving Strides, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 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.

Verify at the official NPI Registry.