Active NPI
Mid-Oregon Counseling, LLC
- Clinical Social Worker
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- 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
- Rebecca Ann Timms, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Bend, OR
- NPI 1548481732
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.