Organization Active NPI

East Cascade Counseling Services LLC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1306298757
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1852 Issued in OR
Legal business name
EAST CASCADE COUNSELING SERVICES LLC
Practice address
731 NW Franklin Ave
Suite 107
Bend, OR 97703-2752
Phone
(541) 306-1128
Fax
(541) 647-1128
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Kerri E Hanlon, MA, LPC, CADC III, MNPI 1114113974
Title
Therapist
Phone
(541) 306-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X C1852 OR Primary

Addresses

Primary practice location

731 NW Franklin Ave
Suite 107
Bend, OR 97703-2752

Mailing address

731 NW Franklin Ave
Suite 107
Bend, OR 97703-2752
Phone (541) 306-1128

National Provider Directory

National Provider Directory

Locations

731 NW Franklin Ave
Ste 107
Bend, OR 97703
Phone (541) 306-1128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1306298757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE",
            "address_2": "SUITE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-306-1128",
            "fax_number": "541-647-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE",
            "address_2": "SUITE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-306-1128",
            "fax_number": "541-647-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CASCADE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "541-306-1128",
        "authorized_official_credential": "MA, LPC, CADC III, M"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1852",
            "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 Jul 11, 2016; 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.