Individual provider Active NPI

Jane Harrell Unterberger, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1164217162
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10047534 Issued in OR
Practice address
1001 SW Disk Dr Ste 250
Bend, OR 97702-3754
Phone
(541) 293-1325
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201390056RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10047534 OR Primary

Addresses

Primary practice location

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754

Mailing address

6856 NE Stanton St
Portland, OR 97213-4668
Phone (503) 347-0447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201390056RNORMDRegistered Nurse
10047534ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Behavioral Health LLC Psychiatric/Mental Health CurrentSince Aug 3, 2025 Accepting new patients

Locations

1001 SW Disk Dr
Ste 250
Bend, OR 97702
Phone (541) 293-1325

29 NW Greeley Ave
Bend, OR 97703
Phone (541) 241-2252

1127 Lincoln St
Eugene, OR 97401
Phone (541) 953-4612

7412 SW Beaverton Hillsdale Hwy
Ste 106
Portland, OR 97225
Phone (503) 530-8521

Organizations & group practices 1

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": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1164217162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 NE STANTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134668",
            "telephone_number": "503-347-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW DISK DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023754",
            "telephone_number": "541-293-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERBERGER",
        "first_name": "JANE",
        "middle_name": "HARRELL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201390056RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10047534",
            "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 Jul 29, 2025; 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.