Bend Care Connection

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEND CARE CONNECTION

Practice address

300 SE Reed Market Rd Ste 235
Bend, OR 97702-2237

Phone

(541) 668-3307

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Su-Chin Ward, LPC-INTERN, CADC-1NPI 1184038234

Title

Owner/ Counselor

Phone

(541) 668-3307

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Su-Chin Ward

  • Mental Health Counselor
  • Bend, OR
  • NPI 1184038234

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1477021970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61365 STEENS MOUNTAIN LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022865",
            "telephone_number": "541-668-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD STE 235",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022237",
            "telephone_number": "541-668-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND CARE CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SU-CHIN",
        "authorized_official_title_or_position": "OWNER/ COUNSELOR",
        "authorized_official_telephone_number": "541-668-3307",
        "authorized_official_credential": "LPC-INTERN, CADC-1"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 2, 2018; 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.