Central Oregon Family Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CENTRAL OREGON FAMILY THERAPY

Practice address

2622 SW Glacier PL Ste 120
Redmond, OR 97756-7866

Phone

(541) 233-9153

NPI assigned

Jan 13, 2021

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi PetersonNPI 1659767184

Title

Owner/Manager

Phone

(541) 233-9153

Specialties & licenses 1

Addresses

Other names 1

• Central Oregon Family Therapy Former legal business name

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi Peterson

  • Mental Health Counselor
  • Bend, OR
  • NPI 1659767184
  NPD Authorized official
• Sunnie Hunt

  • Mental Health Counselor
  • Redmond, OR
  • NPI 1588398747
  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1356930424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 SW GLACIER PL STE 120",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567866",
            "telephone_number": "541-233-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 SW GLACIER PL STE 120",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567866",
            "telephone_number": "541-233-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "541-233-9153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jodi@centraloregonfamilytherapy.com",
            "affiliation": "N",
            "endpointDescription": "hiipomail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2622 SW Glacier Pl Ste 120",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977567866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Central Oregon Family Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Central Oregon Family Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lori Causey
• William Cecrle, MOT
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• Central Oregon Eyecare, PC
• Central Oregon Family Medicine, P.C.
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Pharmacy and Compounding
• Cep America - Neurology PC
• Karisa M Cervantes, OD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Redmond, OR
• Providers in Redmond, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.