Individual provider Active NPI

Anne Hendrick Muir, LMFT, QMHP

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1093999765
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0216 Issued in OR
Practice address
390 SW Columbia St
Suite 210
Bend, OR 97702-3227
Phone
(541) 550-0567
Fax
(541) 388-0479
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T0216 OR
Marriage & Family Therapist 106H00000X T0216 OR Primary

Addresses

Primary practice location

390 SW Columbia St
Suite 210
Bend, OR 97702-3227

Mailing address

20350 Enati CT
Bend, OR 97702-2742
Phone (541) 550-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T0216ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F Burch PHD PC Past Accepting new patients

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1093999765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 ENATI CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022742",
            "telephone_number": "541-550-0567",
            "fax_number": "541-388-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SW COLUMBIA ST",
            "address_2": "SUITE 210",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023227",
            "telephone_number": "541-550-0567",
            "fax_number": "541-388-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIR",
        "first_name": "ANNE",
        "middle_name": "HENDRICK",
        "credential": "LMFT, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T0216",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0216",
            "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 Feb 20, 2012; 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.