Individual provider Active NPI

Deborah Taylor, MCOUN

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1457831802
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6089 Issued in OR
Practice address
686 NW York Dr
Bend, OR 97703-9857
Phone
(541) 390-7288
NPI assigned
Aug 15, 2018
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6089 OR Primary

Addresses

Primary practice location

686 NW York Dr
Bend, OR 97703-9857

Mailing address

686 NW York Dr
Bend, OR 97703-9857
Phone (541) 390-7288

Other practice location 1

1195 NW Wall St
Bend, OR 97703-1965
Phone (541) 728-0062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C6089ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1457831802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 NW YORK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039857",
            "telephone_number": "541-390-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 NW YORK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039857",
            "telephone_number": "541-390-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 NW Wall St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977031965",
            "country_code": "US",
            "telephone_number": "541-728-0062",
            "fax_number": "541-306-6733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DEBORAH",
        "credential": "MCOUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.