Jessica Rae Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA RAE PSYCHOTHERAPY LLC

Practice address

1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162

Phone

(541) 890-3061

NPI assigned

Dec 3, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Rae, LCSWNPI 1881480408

Title

Licensed Clinical Social Worker

Phone

(541) 890-3061

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Rae, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1881480408
  NPD Authorized official

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1417810946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19903 PORCUPINE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SW EMKAY DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023162",
            "telephone_number": "541-890-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA RAE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "541-890-3061",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Jero, LPC
• Denise Colette Jerome, P.T.
• Christie Jespersen
• Jessica a. Henderson PC
• Jessica Karriker, LLC
• Jessica Smith-Blockley, LLC
• Gail Marie Jett, NURSE PRACTITIONER
• Kristi J Jett, MD
• Thomas Edward Jett, MD
• Liska I Jewell

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.