Active NPI
Dan Bernard, LPC
- Mental Health Counselor
- Lake Oswego, OR
National Provider Identifier
1275705063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C-1348
- Practice address
- 3701 Carman Dr
Lake Oswego, OR 97035-2503 - Phone
- (503) 827-0199
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C-1348 | OR | Primary |
Addresses
Primary practice location
3701 Carman Dr
Lake Oswego, OR 97035-2503
Mailing address
3701 Carman Dr
Lake Oswego, OR 97035-2503
Phone (503) 827-0199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 24, 2025 through Mar 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-1348 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1275705063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 CARMAN DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352503",
"telephone_number": "503-827-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 CARMAN DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352503",
"telephone_number": "503-827-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "DAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C-1348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.