Jon Grace, PSS-YS, QMHA-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

22-QMHA-R-2796 Issued in OR

Practice address

20370 Poe Sholes Dr
Bend, OR 97703-7938

Phone

(541) 318-1377

NPI assigned

Nov 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Best Care Treatment Services

  • Community/Behavioral Health Agency
  • Prineville, OR
  • NPI 1194368373
  NPD

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1043033236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 POE SHOLES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037938",
            "telephone_number": "541-318-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 POE SHOLES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037938",
            "telephone_number": "541-318-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JON",
        "credential": "PSS-YS, QMHA-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "22-QMHA-R-2796",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000106413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goulding Eyecare LLC
• Amanda Gow, REGISTERED ASSOCIATE
• Jessica Goyke, DC
• Stephanie Layne Graber, LMT
• Avery Grace, QMHP
• Matikas Grace
• Matthew Jared Graffenberger, QMHA
• Christopher Lee Graham, M.D.
• Mikaela Graham, MCOUN
• Theresa Mary Graif, M.D.

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.