Organization Active NPI

Glacier Lily Counseling, LLC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1053285270
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GLACIER LILY COUNSELING, LLC
Practice address
431 NW Franklin Ave Ste 200
Bend, OR 97703-2827
Phone
(541) 834-9068
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Maryam Mirahmadi, LPCNPI 1801571260
Title
Member/Owner
Phone
(541) 834-9068

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

431 NW Franklin Ave Ste 200
Bend, OR 97703-2827

Mailing address

431 NW Franklin Ave Ste 200
Bend, OR 97703-2827

National Provider Directory

National Provider Directory

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": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1053285270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NW FRANKLIN AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NW FRANKLIN AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032827",
            "telephone_number": "541-834-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER LILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MIRAHMADI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "541-834-9068",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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 Jun 4, 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.