Active NPI
Resolutions Creative Conflict Management, Inc
- Community/Behavioral Health Agency
- Bend, OR
National Provider Identifier
1184800187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- L3785
- Legal business name
- RESOLUTIONS CREATIVE CONFLICT MANAGEMENT, INC
- Practice address
- 2052 NE 4TH St
Bend, OR 97701-3825 - Phone
- (541) 383-2004
- Fax
- (541) 383-2013
- NPI assigned
- Jan 21, 2008
- Last updated
- Apr 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty Jo Groshong, LCSW
- Title
- Therapist
- Phone
- (541) 383-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | L3785 | OR | Primary |
Addresses
Primary practice location
2052 NE 4TH St
Bend, OR 97701-3825
Mailing address
2052 NE 4TH St
Bend, OR 97701-3825
Phone (541) 383-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245241397 | Other | OR | NPI FOR BETTY GROSHONG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
754 NW Broadway St
Ste 203
Bend, OR 97703
Phone (458) 206-0812
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Clinical Social Worker
- Bend, OR
- NPI 1245241397
-
- Clinical Social Worker
- Bend, OR
- NPI 1942500897
-
- Diagnostic Radiology Physician
- Bend, OR
- NPI 1043846538
-
- Clinical Social Worker
- Bend, OR
- NPI 1306178041
-
- Clinical Social Worker
- Bend, OR
- NPI 1619988706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270512000000",
"number": "1184800187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 NE 4TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977013825",
"telephone_number": "541-383-2004",
"fax_number": "541-383-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2052 NE 4TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977013825",
"telephone_number": "541-383-2004",
"fax_number": "541-383-2013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOLUTIONS CREATIVE CONFLICT MANAGEMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2010-04-06",
"status": "A",
"authorized_official_last_name": "GROSHONG",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "541-383-2004",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OR",
"license": "L3785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR BETTY GROSHONG",
"identifier": "1245241397",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Marla Rendell, MD
- Renelle Taylor LCSW LLC
- Chase Rennert, LMT
- John P Renton, M.D.
- Resilience Climbing LLC (Peak Into Resilience)
- Resolve Physical Therapy
- Restored Core Physical Therapy LLC
- Restored Soul Counseling (Tara Sobrio Counseling LLC)
- Results Neck & Back Therapy LLC
- Retina Clinic of the Cascades, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.