Active NPI
Skyline Recovery Bend
- Counselor
- Bend, OR
National Provider Identifier
1548172315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- SKYLINE RECOVERY BEND
- Practice address
- 625 NW Colorado Ave
Bend, OR 97703-3257 - Phone
- (541) 205-9126
- NPI assigned
- Sep 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Bosse, LCSW, CADC-I
- Title
- Therapist
- Phone
- (970) 729-0652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
625 NW Colorado Ave
Bend, OR 97703-3257
Mailing address
625 NW Colorado Ave
Bend, OR 97703-3257
Phone (541) 205-9126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1548172315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 NW COLORADO AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977033257",
"telephone_number": "541-205-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 NW COLORADO AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977033257",
"telephone_number": "541-205-9126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE RECOVERY BEND",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "BOSSE",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "970-729-0652",
"authorized_official_credential": "LCSW, CADC-I"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"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 Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.