Gina Lawrence

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4474 Issued in OR

Practice address

24455 Dodds Rd
Bend, OR 97701-9665

Phone

(541) 777-7230

Fax

(541) 923-7139

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• Direct secure messaging: ginalawrence@tdh.allscriptsdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: gina.lawrence.p1@direct.tejashealthcare.nextgenshare.com

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.

• Lifesource Therapy LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1003660036

  TX

  Medicare reassignment NPD Authorized official
• Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • La Grange, TX
  • NPI 1073779500
  Medicare reassignment NPD
• Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • Giddings, TX
  • NPI 1215326491
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1235545443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NE 3RD ST",
            "address_2": "STE 106 PBM 3041",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013889",
            "telephone_number": "541-777-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24455 DODDS RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019665",
            "telephone_number": "541-777-7230",
            "fax_number": "541-923-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "6785",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Laverdiere, DO
• Taylor Laverdiere
• Jessica Law
• Tia Lawler, CADC I,
• Elizabeth Lawrence
• Gina Marcelle Lawrence, L.M.T.
• Jennifer O'Connor Lawrence, LCSW
• Kari Ann Lawrence, RDH
• Lucas Leroy Lawrence, RN
• Craig Robert Laws, M.D.

• 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 Aug 18, 2025; 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.