Individual provider Active NPI

Tia Lawler, CADC I,

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1497172852
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R4918 Issued in OR
Practice address
220 NW Oregon Ave Ste 202
Bend, OR 97703-2745
Phone
(541) 846-8173
NPI assigned
Mar 24, 2014
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17-02-20 OR
Mental Health Counselor 101YM0800X R4918 OR Primary

Addresses

Primary practice location

220 NW Oregon Ave Ste 202
Bend, OR 97703-2745

Mailing address

220 NW Oregon Ave Ste 202
Bend, OR 97703-2745
Phone (541) 846-8173

Other practice location 1

605 W 4th Ave
Eugene, OR 97402-5022
Phone (541) 762-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R4918ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Family, Inc Addiction (Substance Use Disorder) Past Accepting new patients
Teleah Lynn Ringhand Mental Health PastSince Jul 28, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wfts/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1497172852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW OREGON AVE STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032745",
            "telephone_number": "541-846-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW OREGON AVE STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032745",
            "telephone_number": "541-846-8173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025022",
            "country_code": "US",
            "telephone_number": "541-762-4575",
            "fax_number": "541-762-0728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "TIA",
        "credential": "CADC I,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "17-02-20",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.