Devora Lee Rubin, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2187 Issued in OR

Practice address

15 NW Park Place, Suite 130 Crosswaters Family Therapy
Bend, OR 97703

Phone

(541) 610-8391

Fax

(541) 726-5085

NPI assigned

Dec 12, 2010

Last updated

Jun 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jessica Karriker, LLC

  dba Crosswaters Family Therapy

  • Mental Health Counselor
  • Bend, OR
  • NPI 1760967970
  NPD (past)

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

{
    "created_epoch": "1292112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1437452570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NW PARK PLACE, SUITE 130 CROSSWATERS FAMILY THERAPY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-610-8391",
            "fax_number": "541-726-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NW PARK PLACE, SUITE 130 CROSSWATERS FAMILY THERAPY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-610-8391",
            "fax_number": "541-726-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "DEVORA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-12",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "2187",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "R0000WDBCH",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda R Rowsey, FNP
• Jennifer Lynn Rowton, LCSW
• Katherine N Rozelle, QMHP
• Theresa Marie Rubadue-Doi, D.C.
• J'Leyne Rubbert
• Scott Alan Ruby, PT
• Marie Rudback, DC
• Natasha Rudd, N.D., L.AC
• Peggy Reines Rudnick, LCSW, BCD
• Brian Charles Rue, DPT

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.