Resilience Climbing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESILIENCE CLIMBING LLC

Doing business as

Peak Into Resilience

Practice address

1116 NE Ulysses Dr
Bend, OR 97701-3967

Phone

(541) 203-3934

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Regan Mullane, PCA

Title

Therapist and Owner

Phone

(206) 375-2411

Specialties & licenses 1

Addresses

Other names 1

• Peak Into Resilience Doing business as

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1194565440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 NE ULYSSES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013967",
            "telephone_number": "206-375-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 NE ULYSSES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013967",
            "telephone_number": "541-203-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE CLIMBING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MULLANE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "REGAN",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "206-375-2411",
        "authorized_official_credential": "PCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Into Resilience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.