Organization Active NPI

Mid-Oregon Counseling, LLC

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1619536349
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MID-OREGON COUNSELING, LLC
Practice address
220 NW Oregon Ave Ste 202
Bend, OR 97703-2745
Phone
(541) 410-5021
NPI assigned
Jun 6, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Rebecca Ann Timms, LCSWNPI 1548481732
Title
Owner/Provider
Phone
(541) 410-5021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

220 NW Oregon Ave Ste 202
Bend, OR 97703-2745

Mailing address

21032 Bayou Dr
Bend, OR 97702-2438
Phone (541) 410-5021

National Provider Directory

National Provider Directory

Locations

220 NW Oregon Ave
Ste 202
Bend, OR 97703
Phone (541) 410-5021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1619536349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21032 BAYOU DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022438",
            "telephone_number": "541-410-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW OREGON AVE STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032745",
            "telephone_number": "541-410-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OREGON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "TIMMS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-410-5021",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 18, 2019; 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.