Organization Active NPI

Restored Soul Counseling

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1104475755
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESTORED SOUL COUNSELING
Doing business as
Tara Sobrio Counseling LLC
Practice address
1114 NE Revere Ave
Bend, OR 97701-4150
Phone
(541) 788-8380
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Tara Marshelle Haskell, LPC
Title
Owner
Phone
(541) 788-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1114 NE Revere Ave
Bend, OR 97701-4150

Mailing address

1114 NE Revere Ave
Bend, OR 97701-4150
Phone (541) 788-8380

Other names 1

  • Tara Sobrio Counseling LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1104475755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014150",
            "telephone_number": "541-788-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014150",
            "telephone_number": "541-788-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED SOUL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MARSHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-788-8380",
        "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": [
        {
            "organization_name": "Tara Sobrio Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tara Sobrio Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 2025; 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.