Individual provider Active NPI

Casey Hineline

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1417485459
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2197 Issued in OR
Practice address
750 Charbonneau Ste 210
Bend, OR 97703-7048
Phone
(415) 870-4107
NPI assigned
Jun 2, 2017
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 122777 CA
Marriage & Family Therapist 106H00000X T2197 OR Primary

Addresses

Primary practice location

750 Charbonneau Ste 210
Bend, OR 97703-7048

Mailing address

19157 Chiloquin Dr
Bend, OR 97703-7144
Phone (503) 481-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224003089 OR Practitioner - Marriage and Family Therapist 3072033877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogue Psych Consultants LLCGroup PAC ID 1850632415, 19 clinicians

Practice addresses (Care Compare)

835 Crater Lake Ave
Medford, OR 97504-6505
Phone (503) 453-0269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122777CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Psych Consultants, LLC Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Rogue Psych Consultants PastSince Jul 20, 2021 Accepting new patients

Locations

835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141

2855 NW 7th St
Redmond, OR 97756
Phone (541) 668-8500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1417485459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19157 CHILOQUIN DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037144",
            "telephone_number": "503-481-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CHARBONNEAU STE 210",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037048",
            "telephone_number": "415-870-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINELINE",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "122777",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.