Individual provider Active NPI

Melisa Demeyer, MS, PHD, LPC

  • Counselor
  • Bend, OR
National Provider Identifier
1336690544
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C5689 Issued in OR
Practice address
336 NE Norton Ave Ste 3
Bend, OR 97701-4386
Phone
(541) 287-4513
NPI assigned
Oct 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-6040 ID
Counselor 101Y00000X C5689 OR Primary

Addresses

Primary practice location

336 NE Norton Ave Ste 3
Bend, OR 97701-4386

Mailing address

336 NE Norton Ave Ste 3
Bend, OR 97701-4386

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
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC-6040IDMDCounselor
C5689ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1477180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1336690544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014386",
            "telephone_number": "541-287-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEYER",
        "first_name": "MELISA",
        "name_prefix": "Dr.",
        "credential": "MS, PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-6040",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C5689",
            "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 Mar 28, 2023; 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.