Organization Active NPI

North Star Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Bend, OR
National Provider Identifier
1255040739
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NORTH STAR COUNSELING SERVICES, LLC
Doing business as
North Star Counseling Services, LLC
Practice address
695 SW Mill View Way Ste 203
Bend, OR 97702-1557
Phone
(541) 241-4420
Fax
(541) 508-4528
NPI assigned
Nov 23, 2022
Last updated
Nov 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH STAR COUNSELING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Authorized official

Name
Mr. Steven J. Roberts, LPCNPI 1073168530
Title
Owner
Phone
(541) 241-4420

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

695 SW Mill View Way Ste 203
Bend, OR 97702-1557

Mailing address

20005 Voltera PL
Bend, OR 97702-3013
Phone (541) 241-4420

Other identifiers 1

IdentifierTypeStateIssuer
500767099MedicaidOR

Other names 1

  • North Star Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
North Star Counseling Services LLC

Locations

155 NW Hawthorne Ave
Bend, OR 97703
Phone (541) 410-7500

695 SW Mill View Way
Ste 203
Bend, OR 97702
Phone (541) 241-4420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1255040739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20005 VOLTERA PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023013",
            "telephone_number": "541-241-4420",
            "fax_number": "541-610-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SW MILL VIEW WAY STE 203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021557",
            "telephone_number": "541-241-4420",
            "fax_number": "541-508-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNSELING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH STAR COUNSELING SERVICES, LLC",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-241-4420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500767099",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Star Counseling Services, LLC",
            "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 Nov 17, 2024; 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.