Patricia Short, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C5788 Issued in OR

Practice address

185 NE 4TH St Ste 5
Prineville, OR 97754-1934

Phone

(971) 312-2091

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Apis Family Services LLC

  • Community/Behavioral Health Agency
  • Prineville, OR
  • NPI 1134706849

  Professional

  NPD Authorized official
• Cornerstone Addiction Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Prineville, OR
  • NPI 1043950868
  NPD Authorized official

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1124440813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 NE LOOKOUT AVE",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541317",
            "telephone_number": "971-312-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 NE 4TH ST STE 5",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541934",
            "telephone_number": "971-312-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 NW Hawthorne Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032957",
            "country_code": "US",
            "telephone_number": "971-312-2091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1068 NE Lookout Ave",
            "address_purpose": "LOCATION",
            "city": "Prineville",
            "state": "OR",
            "postal_code": "977541317",
            "country_code": "US",
            "telephone_number": "971-312-2091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "PATRICIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124440813",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshort@apisfamilyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1900 NE Highway 99W",
            "city": "McMinnville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971282757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pshort@apisfamilyservices.com",
            "affiliation": "N",
            "address_1": "1068 NE Lookout Ave",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977541317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriaa L Schmitt, LMT
• Shana L Schmitz, MA, LPC
• Nicole Seal
• Jacqueline Sharib, LCSW
• Hugh Thomas Shepard, QMHA
• Ryan Short, DPT
• Kayle Ryn Shrauger
• Caitlin Silveria
• Katrina Simpson, RN
• David Arno Skvorak, DDS

• Professional Counselor in Prineville, OR
• Providers in Prineville, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.