Individual provider Active NPI

Hannah Kappus, QMHP

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1093325110
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
548 SW 13TH St
Bend, OR 97702-3184
Phone
(720) 696-3181
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

548 SW 13TH St
Bend, OR 97702-3184

Mailing address

20225 Jonathon CT
Bend, OR 97703-8764
Phone (720) 696-3181

Other practice location 1

20225 Jonathon Ct
Bend, OR 97703-8764
Phone (720) 696-3181

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
I20240103002733 OR Practitioner - Mental Health Counselor 0749630721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rimrock Trails Treatment ServicesGroup PAC ID 5799107629, 9 clinicians

Practice addresses (Care Compare)

1333 NW 9TH St
Prineville, OR 97754-1482
Phone (541) 447-2631

548 SW 13TH St
Bend, OR 97702-3184
Phone (541) 388-8459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rimrock Trails Treatment Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

548 SW 13th St
Bend, OR 97702
Phone (541) 388-8459

1333 NW 9th St
Prineville, OR 97754
Phone (541) 388-8459

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1093325110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 JONATHON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038764",
            "telephone_number": "720-696-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SW 13TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023184",
            "telephone_number": "720-696-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20225 Jonathon Ct",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977038764",
            "country_code": "US",
            "telephone_number": "720-696-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPPUS",
        "first_name": "HANNAH",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.