Active NPI
Lara Schwartz LLC
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1245844414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.