Individual provider Active NPI

Heather Smith

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1144745027
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1971 Issued in OR
Practice address
1435 NE 4TH St
Bend, OR 97701-4200
Phone
(541) 625-4327
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X T1971 OR Primary

Addresses

Primary practice location

1435 NE 4TH St
Bend, OR 97701-4200

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002456 OR Practitioner - Marriage and Family Therapist 3274973995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1971ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Brightways Counseling Group LLC Addiction (Substance Use Disorder) CurrentSince Apr 16, 2024 Accepting new patients

Locations

1435 NE 4th St
Bend, OR 97701
Phone (541) 625-4327

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

7515 Falcon Crest Dr
#200
Redmond, OR 97756

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1144745027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014200",
            "telephone_number": "541-625-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.