Central Oregon Counseling LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

CENTRAL OREGON COUNSELING LLC

Practice address

1260 SW Silver Lake Blvd Unit 100
Bend, OR 97702-2989

Phone

(541) 728-3772

Fax

(517) 323-9531

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By 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

Cathy Gallegos

Title

Credentialing Manager

Phone

(517) 483-2461

Specialties & licenses 1

Addresses

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.

• Elizabeth Gutzke, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1558882423
  NPD

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1275201584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SW SILVER LAKE BLVD UNIT 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022989",
            "telephone_number": "541-728-3772",
            "fax_number": "517-323-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SW SILVER LAKE BLVD UNIT 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022989",
            "telephone_number": "541-728-3772",
            "fax_number": "517-323-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Oregon Foot & Ankle Group, Inc. (Central Oregon Foot & Ankle)

• Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.