Organization Active NPI

Juniper Mountain Counseling

  • Community/Behavioral Health Agency
  • Bend, OR
National Provider Identifier
1225453814
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JUNIPER MOUNTAIN COUNSELING
Practice address
371 SW Upper Terrace Dr Ste 4
Bend, OR 97702-1560
Phone
(541) 617-0543
Fax
(541) 617-0377
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Mr. James Mockaitis, MS,MS, LPCNPI 1366872632
Title
Owner/ Clinic Director
Phone
(541) 617-0543

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

371 SW Upper Terrace Dr Ste 4
Bend, OR 97702-1560

Mailing address

371 SW Upper Terrace Dr Ste 4
Bend, OR 97702-1560
Phone (541) 617-0543

National Provider Directory

National Provider Directory

Locations

371 SW Upper Terrace Dr
Ste 4
Bend, OR 97702
Phone (541) 617-0377

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1225453814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-617-0543",
            "fax_number": "541-617-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-617-0543",
            "fax_number": "541-617-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER MOUNTAIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MOCKAITIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "541-617-0543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2014; 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.