Active NPI
Laura M Robinson, LPC
- Professional Counselor
- Bend, OR
National Provider Identifier
1235534397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6928
- Practice address
- 255 SW Bluff Dr Ste 100
Bend, OR 97702-3220 - Phone
- (541) 668-7577
- NPI assigned
- Oct 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | ||
| Professional Counselor | 101YP2500X | C6928 | OR | Primary |
Addresses
Primary practice location
255 SW Bluff Dr Ste 100
Bend, OR 97702-3220
Mailing address
PO Box 1234
Saint Helens, OR 97051-8234
Phone (503) 397-5211
Other practice location 1
58646 McNulty Way
Saint Helens, OR 97051-6210
Phone (503) 397-5211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500695611 | Medicaid | OR | |
| 123190 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 22, 2024 through Apr 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6928 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1235534397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1234",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970518234",
"telephone_number": "503-397-5211",
"fax_number": "503-397-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SW BLUFF DR STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977023220",
"telephone_number": "541-668-7577"
}
],
"practiceLocations": [
{
"address_1": "58646 McNulty Way",
"address_purpose": "LOCATION",
"city": "Saint Helens",
"state": "OR",
"postal_code": "970516210",
"country_code": "US",
"telephone_number": "503-397-5211",
"fax_number": "503-397-5373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "LAURA",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500695611",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123190",
"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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.