Individual provider Active NPI

Romina Frida King, LMFT

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1295981272
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0595 Issued in OR
Practice address
60330 Rimfire Rd
Bend, OR 97702-9236
Phone
(541) 797-4516
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0595 OR Primary

Addresses

Primary practice location

60330 Rimfire Rd
Bend, OR 97702-9236

Mailing address

60330 Rimfire Rd
Bend, OR 97702-9236
Phone (541) 797-4516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T0595ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Equinimity, LLC Marriage & Family Therapist CurrentSince Jun 21, 2020 Accepting new patients
New Perspectives Center for Counseling & Therapy PastSince Sep 24, 2016 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1295981272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60330 RIMFIRE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029236",
            "telephone_number": "541-797-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60330 RIMFIRE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029236",
            "telephone_number": "541-797-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ROMINA",
        "middle_name": "FRIDA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 14, 2020; 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.