Organization Active NPI

The Pursuit of Wellness, LLC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1164176038
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE PURSUIT OF WELLNESS, LLC
Practice address
320 SW Century Dr # 405-203
Bend, OR 97702-3037
Phone
(503) 567-8605
Fax
(855) 975-2656
NPI assigned
Feb 9, 2022
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Jennifer Shelton, LPC
Title
Owner
Phone
(503) 567-8682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

320 SW Century Dr # 405-203
Bend, OR 97702-3037

Mailing address

320 SW Century Dr # 405-203
Bend, OR 97702-3037
Phone (503) 567-8605

Other practice location 1

1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone (503) 567-8605

National Provider Directory

National Provider Directory

Locations

320 SW Century Dr
#405203
Bend, OR 97702
Phone (503) 567-8605

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": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1164176038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SW CENTURY DR # 405-203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023037",
            "telephone_number": "503-567-8605",
            "fax_number": "855-975-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SW CENTURY DR # 405-203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023037",
            "telephone_number": "503-567-8605",
            "fax_number": "855-975-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE Alder St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142400",
            "country_code": "US",
            "telephone_number": "503-567-8605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PURSUIT OF WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-567-8682",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 May 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.