Individual provider Active NPI

Nicholas Adam Yehl, LCSW

  • Counselor
  • Bend, OR
National Provider Identifier
1508489576
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
L15724 Issued in OR
Practice address
20370 Poe Sholes Dr
Bend, OR 97703-7938
Phone
(541) 588-4585
NPI assigned
May 25, 2020
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X L15724 OR Primary

Addresses

Primary practice location

20370 Poe Sholes Dr
Bend, OR 97703-7938

Mailing address

20370 Poe Sholes Dr
Bend, OR 97703-7938
Phone (541) 588-4585

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
I20241121004460 OR Practitioner - Clinical Social Worker 6608301015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33008424AINMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ah Addiction Care PC CurrentSince Oct 1, 2024 Accepting new patients
Ah Addiction Care of California PC PastSince Sep 8, 2024 Accepting new patients

Locations

303 Twin Dolphin Dr
Ste 6006002
Redwood City, CA 94065

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": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1508489576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 POE SHOLES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037938",
            "telephone_number": "541-588-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 POE SHOLES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037938",
            "telephone_number": "541-588-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEHL",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "L15724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.