Edgar Julian Caballero, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

19855 4TH St Ste 106
Bend, OR 97703-7814

Phone

(541) 357-7686

NPI assigned

Oct 26, 2015

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

Practice roles

Locations

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.

• Bend Mental Wellness LLC

  • Professional Counselor
  • Bend, OR
  • NPI 1407446743
  NPD Authorized official

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1376915686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64682 COOK AVE # 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039033",
            "telephone_number": "541-357-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 4TH ST STE 106",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037814",
            "telephone_number": "541-357-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 NW Wall St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977031970",
            "country_code": "US",
            "telephone_number": "541-357-7686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "EDGAR",
        "middle_name": "JULIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Bybee, DDS
• Sami Byers
• Cody A Byrnes, PA-C
• Jeffrey Caba, PA-C
• Kathryn Caba, PA-C
• Kid Jonathan Cabrera Sr., FNP
• Lindsey Sage Cabrera, FNP
• Eric Cadwell, D.D.S.
• Cafe of Life Chiropractic PC
• Carolyn Helen Cahill

• Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.