Desert Bloom Counseling and Wellness Collective LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DESERT BLOOM COUNSELING AND WELLNESS COLLECTIVE LLC

Practice address

45 NW Greeley Ave
Bend, OR 97703-2943

Phone

(541) 668-7354

NPI assigned

Sep 20, 2024

Organization subpart

No

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

Authorized official

Name

Samantha Lauren Fe, LPCNPI 1356938682

Title

Licensed Professional Counselor

Phone

(541) 668-7354

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Fe, LPC

  • Professional Counselor
  • Bend, OR
  • NPI 1356938682

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1104643295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "541-668-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "541-668-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BLOOM COUNSELING AND WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "FE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "541-668-7354",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.