Individual provider Active NPI

Gary Eugene Hunter, MSW, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1427450360
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2214 Issued in OR
Practice address
2190 NE Professional CT Ste 250
Bend, OR 97701-6988
Phone
(541) 513-0500
Fax
(541) 385-6080
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2214 OR Primary

Addresses

Primary practice location

2190 NE Professional CT Ste 250
Bend, OR 97701-6988

Mailing address

2190 NE Professional CT Ste 250
Bend, OR 97701-6988
Phone (541) 513-0500

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
I20200513002562 OR Practitioner - Clinical Social Worker 6901132976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2214ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes Counseling LLC CurrentSince May 26, 2019 Accepting new patients

Locations

1550 NE Williamson Blvd
Ste 110
Bend, OR 97701
Phone (541) 221-6653

365 NE Quimby Ave
Ste 1
Bend, OR 97701
Phone (541) 513-0500

2190 NE Professional Ct
Ste 250
Bend, OR 97701
Phone (541) 221-6653

2700 NE 4th St
Ste 240
Bend, OR 97701
Phone (541) 382-9268

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1427450360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016988",
            "telephone_number": "541-513-0500",
            "fax_number": "541-385-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016988",
            "telephone_number": "541-513-0500",
            "fax_number": "541-385-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "GARY",
        "middle_name": "EUGENE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2023-12-27",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.