Active NPI
Lucas Tartuce de Campos Carvalho
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1568087773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R10646
- Practice address
- 760 NW Harriman St
Bend, OR 97703-2789 - Phone
- (541) 316-0266
- NPI assigned
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R10646 | OR | Primary |
Addresses
Primary practice location
760 NW Harriman St
Bend, OR 97703-2789
Mailing address
760 NW Harriman St
Bend, OR 97703-2789
Phone (541) 316-0266
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
| License | State | Type | Specialty |
|---|---|---|---|
| R10646 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1568087773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 NW HARRIMAN ST",
"city": "BEND",
"state": "OR",
"postal_code": "977032789",
"telephone_number": "541-316-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 NW HARRIMAN ST",
"city": "BEND",
"state": "OR",
"postal_code": "977032789",
"telephone_number": "541-316-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARTUCE DE CAMPOS CARVALHO",
"first_name": "LUCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-12",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R10646",
"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 Jan 24, 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.