Organization Active NPI

Crescent Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bend, OR
National Provider Identifier
1043919327
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CRESCENT COUNSELING LLC
Practice address
1011 SW Emkay Dr Ste 207
Bend, OR 97702-3163
Phone
(541) 837-6901
NPI assigned
Feb 27, 2023
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Savannah Davis, LCSWNPI 1851725055
Title
Co-Owner/Clinician
Phone
(541) 837-6901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1011 SW Emkay Dr Ste 207
Bend, OR 97702-3163

Mailing address

1011 SW Emkay Dr Ste 207
Bend, OR 97702-3163
Phone (541) 837-6901

National Provider Directory

National Provider Directory

Locations

1011 SW Emkay Dr
Ste 207
Bend, OR 97702
Phone (541) 837-6901

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1043919327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 207",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023163",
            "telephone_number": "541-837-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 207",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023163",
            "telephone_number": "541-837-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "CO-OWNER/CLINICIAN",
        "authorized_official_telephone_number": "541-837-6901",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Dec 22, 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.

Verify at the official NPI Registry.