Organization Active NPI

Core Foundations Counseling, LLC

  • Counselor
  • Bend, OR
National Provider Identifier
1174176622
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CORE FOUNDATIONS COUNSELING, LLC
Practice address
384 SW Upper Terrace Dr Ste 202
Bend, OR 97702-3432
Phone
(541) 788-9642
Fax
(541) 647-1413
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Breanna J Montoya, MANPI 1326213596
Title
LMFT
Phone
(541) 788-9642

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

384 SW Upper Terrace Dr Ste 202
Bend, OR 97702-3432

Mailing address

384 SW Upper Terrace Dr Ste 202
Bend, OR 97702-3432
Phone (541) 788-9642

National Provider Directory

National Provider Directory

Locations

384 SW Upper Terrace Dr
Ste 202
Bend, OR 97702
Phone (541) 788-9642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1174176622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 SW UPPER TERRACE DR STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023432",
            "telephone_number": "541-788-9642",
            "fax_number": "641-647-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 SW UPPER TERRACE DR STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023432",
            "telephone_number": "541-788-9642",
            "fax_number": "541-647-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FOUNDATIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "541-788-9642",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "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 Aug 27, 2019; 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.