Individual provider Active NPI

Rachel Cummings

  • Counselor
  • Bend, OR
National Provider Identifier
1356015986
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
T-21-805 Issued in OR
Practice address
155 NE Revere Ave Ste 150
Bend, OR 97701-4147
Phone
(541) 617-4544
Fax
(541) 385-4755
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X T-21-805 OR Primary

Addresses

Primary practice location

155 NE Revere Ave Ste 150
Bend, OR 97701-4147

Mailing address

155 NE Revere Ave Ste 150
Bend, OR 97701-4147
Phone (541) 617-4544

Other identifiers 1

IdentifierTypeStateIssuer
T-21-805OtherORMHACBO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ORTC.CARE Direct

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
T-21-805ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1356015986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NE REVERE AVE STE 150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014147",
            "telephone_number": "541-617-4544",
            "fax_number": "541-385-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NE REVERE AVE STE 150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014147",
            "telephone_number": "541-617-4544",
            "fax_number": "541-385-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "T-21-805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO",
            "identifier": "T-21-805",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ORTC.CARE",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ORTC.CARE",
            "address_1": "155 NE Revere Ave Ste 150",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 6, 2021; 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.