Active NPI
Terri Lynn Merritt, LMFT
- Marriage & Family Therapist
- Bend, OR
National Provider Identifier
1629549746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1908
- Practice address
- 497 SW Century Dr Ste 102
Bend, OR 97702-1167 - Phone
- (541) 896-1098
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C5631 | OR | |
| Marriage & Family Therapist | 106H00000X | T1908 | Primary |
Addresses
Primary practice location
497 SW Century Dr Ste 102
Bend, OR 97702-1167
Mailing address
497 SW Century Dr Ste 102
Bend, OR 97702-1167
Phone (541) 896-1098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500767302 | Medicaid | OR |
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 |
|---|---|---|---|
| C5631 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Family Counseling | Mental Health | Current | Accepting new patients |
Locations
497 SW Century Dr
Ste 102
Bend, OR 97702
Phone (541) 383-0803
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635638400000",
"number": "1629549746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 SW CENTURY DR STE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977021167",
"telephone_number": "541-896-1098",
"fax_number": "541-797-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 SW CENTURY DR STE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977021167",
"telephone_number": "541-896-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "TERRI",
"middle_name": "LYNN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2021-10-31",
"certification_date": "2021-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C5631",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "T1908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500767302",
"state": "OR"
}
],
"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 Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.