Active NPI
North Star Counseling Services, LLC
- Adult Mental Health Clinic/Center
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- NORTH STAR COUNSELING SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven J. Roberts, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500767099 | Medicaid | OR |
Other names 1
- North Star Counseling Services, LLC
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.
-
- Mental Health Counselor
- Bend, OR
- NPI 1073168530
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
- Norco, Inc
- Norco, Inc.
- Linda Nordhus, D.C.
- Marc Andrew Nordstrom, DMD PC
- Samantha J Noregaard, DPT
- Nicholas L North, PT, DPT
- Northland Hearing Centers, Inc. (Crystal Clear Hearing Center)
- Northstar Neurology LLC
- Northwest Addiction Treatment LLC (Recover Together Bend)
- Northwest Addiction Treatment LLC (Recover Together Bend)
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.