Individual provider Active NPI

Bruce Shane Ostler

  • Mental Health Counselor
  • The Dalles, OR
National Provider Identifier
1174299291
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25-QMHP-R-3672 Issued in OR
Practice address
1060 Webber St
The Dalles, OR 97058-3749
Phone
(541) 296-5452
Fax
(541) 296-5263
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X 24-QMHA-I-004128 OR
Peer Specialist 175T00000X 112437 OR
Mental Health Counselor 101YM0800X 25-QMHP-R-3672 OR Primary

Addresses

Primary practice location

1060 Webber St
The Dalles, OR 97058-3749

Mailing address

965 Tucker Rd
Hood River, OR 97031
Phone (541) 386-6665

Other practice location 1

1610 Woods Ct
Hood River, OR 97031-2911
Phone (541) 386-2620

Other practice location 2

965 Tucker Rd
Hood River, OR 97031
Phone (541) 386-6665

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
25-QMHP-R-3672ORMDMental Health Counselor
24-QMHA-I-004128ORMDCase Manager/Care Coordinator
112437ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Center for Living CurrentSince Dec 1, 2024 Accepting new patients
Mid-Columbia Center for Living Mental Health CurrentSince Sep 2, 2014 Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients

Locations

1610 Woods Ct
Hood River, OR 97031
Phone (541) 386-2620

1060 Webber St
The Dalles, OR 97058

Organizations & group practices 3

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1174299291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 TUCKER RD",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "97031",
            "telephone_number": "541-386-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Woods Ct",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970312911",
            "country_code": "US",
            "telephone_number": "541-386-2620",
            "fax_number": "541-386-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Tucker Rd",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "97031",
            "country_code": "US",
            "telephone_number": "541-386-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTLER",
        "first_name": "BRUCE",
        "middle_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "24-QMHA-I-004128",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "112437",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "25-QMHP-R-3672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.