Bend Family Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

T0722 Issued in OR

Legal business name

BEND FAMILY THERAPY, LLC

Practice address

2660 NE Highway 20 Ste 610
#333
Bend, OR 97701-6403

Phone

(541) 228-4775

NPI assigned

Mar 18, 2012

Organization subpart

No

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

Authorized official

Name

Kristin Dawn James, MED; LMFT

Title

Licensed Marriage/Family Therapist

Phone

(541) 228-4775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332028800000",
    "number": "1396010773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 NW BOND ST",
            "address_2": "SUITE 211",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012043",
            "telephone_number": "541-228-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 NE HIGHWAY 20 STE 610",
            "address_2": "#333",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016403",
            "telephone_number": "541-228-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-18",
        "last_updated": "2012-03-18",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED MARRIAGE/FAMILY THERAPIST",
        "authorized_official_telephone_number": "541-228-4775",
        "authorized_official_credential": "MED; LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "T0722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bend, OR
• Providers in Bend, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.