Katie Ford, MFT,LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC35625 Issued in CA

Practice address

2500 NE Twin Knolls Dr Ste 260
Bend, OR 97701-4786

Phone

(661) 426-4213

Fax

(661) 852-2777

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Katie Turner Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Katie Ford LPC MFT

  • Adult Mental Health Clinic/Center
  • Bend, OR
  • NPI 1144866096
  NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1205035235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SW TAFT AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021286",
            "telephone_number": "661-426-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE TWIN KNOLLS DR STE 260",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014786",
            "telephone_number": "661-426-4213",
            "fax_number": "661-852-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "MFT,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2149",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500737088",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "TURNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Forconi-Beach, LPC
• Ashleigh Ford, PA-C
• Christina M. Ford, MD
• Crystal Ann Ford, MACOM, LAC
• Eric Ford
• Ryan Ford, PT
• Sheldon Sumner Ford
• Theodore Rowe Ford, MD
• Joseph Francis Hyde Forest, M.A., QMHP, LMHC
• Laura Bank Forest, L.C.S.W.

• Marriage & Family Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.