Active NPI
Bernice Agyeiwaa Essien, CT
- Mental Health Counselor
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- QMHP-R-1397
- Practice address
- 714 Main St Ste 200
Klamath Falls, OR 97601-6010 - Phone
- (541) 880-4921
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | QMHP-R-1397 | OR | Primary |
Addresses
Primary practice location
714 Main St Ste 200
Klamath Falls, OR 97601-6010
Mailing address
7 North Potomac Street, Hagerstown Maryland 21740
Maryland, Hagerstown, MD 21740
Phone (240) 420-1850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1301 York Rd
Suite 800
Lutherville, MD 21093-6065
3905 National Dr
Suite 200
Burtonsville, MD 20866-6143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QMHP-R-1397 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace William Health Systems | Current | Accepting new patients |
Locations
714 Main St
Ste 200
Klamath Falls, OR 97601
Phone (443) 865-6593
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hagerstown, MD
- NPI 1659108348
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1225544810
-
- Community/Behavioral Health Agency
- Klamath Falls, OR
- NPI 1659944783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1114777612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NORTH POTOMAC STREET, HAGERSTOWN MARYLAND 21740",
"city": "MARYLAND, HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "240-420-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 MAIN ST STE 200",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016010",
"telephone_number": "541-880-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSIEN",
"first_name": "BERNICE",
"middle_name": "AGYEIWAA",
"name_prefix": "Dr.",
"credential": "CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "QMHP-R-1397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
- Rex Homer Ervin, D.D.S.
- Alexa Leigh Erwin, COTA
- Eryka L. Simonson, D.C., P.C. (Family Chiropractic And Wellness Center)
- Jessica M Esparza, QMHA
- Lorena Espinoza, FNP
- David Reuben Estabrook II, RPH
- Erika Nicole Evans, R.D.H.
- Stephani Lyn Evans, MS
- Robyn Ewing, FNP
- Extendicare Homes, Inc. (Klamath Regional Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.