Organization Active NPI

Pura Vida Counseling LLC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1114898939
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PURA VIDA COUNSELING LLC
Practice address
45 NW Greeley Ave
Bend, OR 97703-2943
Phone
(541) 205-9159
Fax
(949) 703-7402
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Russell P Droll, LPCNPI 1679052591
Title
Owner and Clinician
Phone
(541) 205-9159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

45 NW Greeley Ave
Bend, OR 97703-2943

Mailing address

18891 Choctaw Rd
Bend, OR 97702-7911
Phone (541) 205-9159

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1114898939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18891 CHOCTAW RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977027911",
            "telephone_number": "541-205-9159",
            "fax_number": "949-703-7402"
        },
        {
            "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": "541-205-9159",
            "fax_number": "949-703-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "DROLL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER AND CLINICIAN",
        "authorized_official_telephone_number": "541-205-9159",
        "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": []
}

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 Sep 15, 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.