Organization Active NPI

Lara Schwartz LLC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1245844414
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LARA SCHWARTZ LLC
Doing business as
Novus Modo
Practice address
731 NW Franklin Ave Ste 103
Bend, OR 97703-2752
Phone
(541) 410-5343
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Lara Michelle Schwartz, M.A. LMFT.
Title
Owner
Phone
(541) 410-5343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

731 NW Franklin Ave Ste 103
Bend, OR 97703-2752

Mailing address

18460 Couch Market Rd
Bend, OR 97703-9225

Other names 1

  • Novus Modo Doing business as

National Provider Directory

National Provider Directory

Locations

731 NW Franklin Ave
Ste 103
Bend, OR 97703
Phone (541) 410-5343

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1245844414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18460 COUCH MARKET RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-410-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA SCHWARTZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-410-5343",
        "authorized_official_credential": "M.A. LMFT."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novus Modo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 2020; 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.