James Mockaitis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2816 Issued in OR

Practice address

371 SW Upper Terrace Dr Ste 4
Bend, OR 97702-1560

Phone

(541) 617-0543

Fax

(541) 617-0377

NPI assigned

Nov 22, 2013

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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.

• Juniper Mountain Counseling

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1225453814
  NPD (past) Authorized official

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1366872632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-617-0543",
            "fax_number": "541-617-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-617-0543",
            "fax_number": "541-617-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKAITIS",
        "first_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Patrice Mixon
• Lisa Kristine Mizeur, FNP
• Mo Mitchell Psychotherapy, Inc.
• Mobile Physical Therapy, LLC
• Alexander Mockaitis
• Travis Mockler
• Kathleen E Moerschell, R.D., L.D.
• Kelly Moffatt, RDN
• Nila N Mohler, LMT
• Bailey Mohorcich

• 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 19, 2014; 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.