Katie Ford LPC MFT

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KATIE FORD LPC MFT

Doing business as

Katie Ford LPC MFT

Practice address

2500 NE Twin Knolls Dr Ste 260
Bend, OR 97701-4786

Phone

(661) 426-4213

NPI assigned

Nov 25, 2019

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katie Ford, LPC, MFTNPI 1205035235

Title

Licensed Professional Counselor

Phone

(661) 426-4213

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Katie Ford LPC MFT Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Ford, MFT,LPC

  • Marriage & Family Therapist
  • Bend, OR
  • NPI 1205035235
  NPD Authorized official

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1144866096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SW TAFT AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021286",
            "telephone_number": "661-426-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE TWIN KNOLLS DR STE 260",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014786",
            "telephone_number": "661-426-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 SW Taft Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021286",
            "country_code": "US",
            "telephone_number": "661-426-4213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATIE FORD LPC MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "661-426-4213",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY THERAPIST",
            "identifier": "T0574",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "C2149",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katie Ford LPC MFT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Katie Ford LPC MFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasprowicz Naturopathic Doctor Inc (Wholesome Brain Medicine)
• Rob Kassan, MD
• Deona J Kasten-Stubbs, FNP
• Katherine Keating
• Kathleen Greiner
• Jeff Katz, C.O.
• Matthew I Katz
• Anastasia Lynn Kau
• Kristi Kauffman
• Jill R Kaufmann, MS

• Adult Mental Health Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.