Deborah Coblentz, MA, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

850 W Antler Ave
Redmond, OR 97756-2129

Phone

(650) 269-9254

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 10, 2024 through Jul 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• The Child Center

  • Community/Behavioral Health Agency
  • Redmond, OR
  • NPI 1053684589
  NPD (past)
• Palo Alto Therapy a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Palo Alto, CA
  • NPI 1457754962
  NPD (past)

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1629357231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 MARCOLA RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777948",
            "telephone_number": "541-726-1465",
            "fax_number": "541-726-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W ANTLER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562129",
            "telephone_number": "650-269-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLENTZ",
        "first_name": "DEBORAH",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison M Clark
• Edward Lee Clark, DMD
• Ashley Ann Clary, QMHP
• Jasmine Rae Clawson
• Ella Nicole Close
• Ranelle Coffman
• Nicole Cohen, DPT
• Cameron Lee Coker, C.P.O.
• Katie Jo Cole, MPT, DPT
• Victoria Beth Collier, CRM

• Mental Health Counselor in Redmond, OR
• Providers in Redmond, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.