Individual provider Active NPI

Athena K Hedges, MFT, QMHPC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madras, OR
National Provider Identifier
1538514021
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
22-QMHPC-001176 Issued in OR
Practice address
850 SW 4TH St
Madras, OR 97741-9628
Phone
(541) 475-6575
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21-QMHP-R-0512 OR
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 22-QMHPC-001176 OR Primary

Addresses

Primary practice location

850 SW 4TH St
Madras, OR 97741-9628

Mailing address

PO Box 1710
Redmond, OR 97756-0516
Phone (541) 475-6575

Other practice location 1

2577 NE Courtney Dr
Bend, OR 97701-7752
Phone (541) 322-7500

Other practice location 2

1336 NW Flanders St
Portland, OR 97209-2645
Phone (458) 290-4077

Other identifiers 1

IdentifierTypeStateIssuer
22-QMHPC-001176OtherORQMHPC

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
21-QMHP-R-0512ORMDMental Health Counselor
22-QMHPC-001176ORMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Crest Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1538514021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560516",
            "telephone_number": "541-475-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SW 4TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419628",
            "telephone_number": "541-475-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 NE Courtney Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017752",
            "country_code": "US",
            "telephone_number": "541-322-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1336 NW Flanders St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092645",
            "country_code": "US",
            "telephone_number": "458-290-4077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "ATHENA",
        "middle_name": "K",
        "credential": "MFT, QMHPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "21-QMHP-R-0512",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "22-QMHPC-001176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QMHPC",
            "identifier": "22-QMHPC-001176",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.