Carmel Pardisse Buckingham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R12288 Issued in OR

Practice address

2863 NW Crossing Dr
Bend, OR 97703-7189

Phone

(458) 206-0904

NPI assigned

Apr 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1508702077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14754 SW SCHOLLS FERRY RD APT 1024",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 NW CROSSING DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037189",
            "telephone_number": "458-206-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "CARMEL",
        "middle_name": "PARDISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R12288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BTW Mt. Bachelor Opco, LLC (The Meadow at Mt. Bachelor Memory Care)
• Maria Buagas, RN
• Elise Bucher
• Gary D Buchholz, M.D.
• Gina Buck, LMT
• Maria Buckler
• Darcy Buckley
• Dorraine Budke, LMT
• Josephine Buehler
• Knute C Buehler, MD

• 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 Apr 27, 2026; 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.