Organization Active NPI

Elevate Therapy Associates Inc

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1508520636
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEVATE THERAPY ASSOCIATES INC
Practice address
376 SW Bluff Dr Ste 5
Bend, OR 97702-1399
Phone
(541) 887-0320
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Jennifer Rowton, LCSWNPI 1629333869
Title
Therapist, Owner
Phone
(541) 887-0320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

376 SW Bluff Dr Ste 5
Bend, OR 97702-1399

Mailing address

376 SW Bluff Dr Ste 5
Bend, OR 97702-1399
Phone (541) 887-0320

Other names 1

  • Elevate Therapy Group LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

376 SW Bluff Dr
Ste 5
Bend, OR 97702
Phone (458) 281-0413

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1508520636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 SW BLUFF DR STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021399",
            "telephone_number": "541-887-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 SW BLUFF DR STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021399",
            "telephone_number": "541-887-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ROWTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "541-887-0320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Therapy Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 20, 2023; 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.