Individual provider Active NPI

Molly Bean Knowles

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1386014280
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1011 SW Emkay Dr Ste 207
Bend, OR 97702-3163
Phone
(541) 837-6901
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1011 SW Emkay Dr Ste 207
Bend, OR 97702-3163

Mailing address

1011 SW Emkay Dr Ste 207
Bend, OR 97702-3163
Phone (541) 837-6901

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Counseling LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

1011 SW Emkay Dr
Ste 207
Bend, OR 97702
Phone (541) 837-6901

2041 NE Williamson Ct
Ste B
Bend, OR 97701
Phone (541) 323-7546

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1386014280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 207",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023163",
            "telephone_number": "541-837-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 207",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023163",
            "telephone_number": "541-837-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN KNOWLES",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Dec 22, 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.