Organization Active NPI

Michael Hoffman Counseling

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1154638617
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6074 Issued in OR
Legal business name
MICHAEL HOFFMAN COUNSELING
Practice address
300 SE Reed Market Rd
Ste 205
Bend, OR 97702-2237
Phone
(541) 639-6246
NPI assigned
Sep 4, 2010
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mr. Michael Robert Hoffman, MSW, LCSW, LICSWNPI 1710197645
Title
Owner
Phone
(541) 639-6246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L6074 OR Primary
Clinical Social Worker 1041C0700X LW 60113465 WA

Addresses

Primary practice location

300 SE Reed Market Rd
Ste 205
Bend, OR 97702-2237

Mailing address

429 NE Franklin Ave
Bend, OR 97701-4918
Phone (541) 639-6246

National Provider Directory

National Provider Directory

Locations

300 SE Reed Market Rd
Ste 205
Bend, OR 97702
Phone (541) 639-6246

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1154638617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014918",
            "telephone_number": "541-639-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD",
            "address_2": "STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022237",
            "telephone_number": "541-639-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HOFFMAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-639-6246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6074",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60113465",
            "primary": false
        }
    ],
    "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 Jan 26, 2015; 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.