Lynnea Aeiline Avenetti, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4202 Issued in OR

Practice address

1011 SW Emkay Dr Ste 104
Bend, OR 97702-3162

Phone

(541) 323-3477

NPI assigned

Apr 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 27, 2024 through Jun 27, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Program Design Concepts, Inc

  dba New Leaf Academy

  • Mental Illness Community Based Residential Treatment Facility
  • Bend, OR
  • NPI 1821544685
  NPD (past)

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1306163035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 NE MADISON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016550",
            "telephone_number": "541-848-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023162",
            "telephone_number": "541-323-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENETTI",
        "first_name": "LYNNEA",
        "middle_name": "AEILINE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Terene Austin
• Lisa Austin, DMD, MSD
• Richard L Austin, DC
• Dave Autrey
• Autumn Therapeutics
• Patricia Lynnette Averre, MS, CADC
• Jarret Avery
• Jordan Avila
• Awbrey Dental Group PC
• Karen Langer Axten, M.D.

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.

Verify at the official NPI Registry.