Mending Waters Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MENDING WATERS COUNSELING LLC

Practice address

21850 Highway 62 # 200
Shady Cove, OR 97539-8715

Phone

(541) 241-2105

NPI assigned

Jul 15, 2026

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan PriceNPI 1972088110

Title

Owner

Phone

(541) 241-2105

Specialties & licenses 2

Addresses

Locations

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.

• Ryan Stuart Price, MA, LPC

  • Professional Counselor
  • Shady Cove, OR
  • NPI 1972088110

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1255251823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1463",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975391463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21850 HIGHWAY 62 # 200",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975398715",
            "telephone_number": "541-241-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING WATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-241-2105"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen S Finley (Shady Cove Clinic)
• Kelly Clayton FNP Inc (Health Care By House Call)
• Dan Dale Kelly
• Phillip Bruce Lassen, D.M.D.
• Laura L. Johnson, N.P., P.C. (Crater Lake Medical South)
• Lila R Moschetti, RPH
• Luke B Murphy, DMD
• Optimal Behavioral Health
• Ryan Stuart Price, MA, LPC
• Kelsey Reed, RDH

• Professional Counselor in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.