NPIMap

Organization Active NPI

Lark Song Counseling LLC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1194318279
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LARK SONG COUNSELING LLC
Practice address
731 NW Franklin Ave Ste 100
Bend, OR 97703-2752
Phone
(541) 229-8861
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Anna Thedford, LPCNPI 1407298268
Title
Owner/Practioner
Phone
(541) 390-8655

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

731 NW Franklin Ave Ste 100
Bend, OR 97703-2752

Mailing address

731 NW Franklin Ave Ste 100
Bend, OR 97703-2752
Phone (541) 229-8861

Other identifiers 1

IdentifierTypeStateIssuer
500677784MedicaidOR

National Provider Directory

National Provider Directory

Locations

731 NW Franklin Ave
Ste 100
Bend, OR 97703
Phone (541) 229-8861

Practitioners & affiliated clinicians

Practitioners 3

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1194318279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-229-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-229-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARK SONG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "THEDFORD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "541-390-8655",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500677784",
            "state": "OR"
        }
    ],
    "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 Feb 18, 2021; 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.