Active NPI
Edward Ewe, PHD, LMHC, LPC, NCC
- Professional Counselor
- Bend, OR
National Provider Identifier
1659591352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5702
- Practice address
- 20273 Reed LN
Bend, OR 97702-2123 - Phone
- (425) 654-0424
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH60807650 | WA | |
| Professional Counselor | 101YP2500X | C5702 | OR | Primary |
Addresses
Primary practice location
20273 Reed LN
Bend, OR 97702-2123
Mailing address
61141 S Hwy 97 # 226
Bend, OR 97702-2523
Phone (425) 654-0424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
61141 S Hwy 97
Suite 226
Bend, OR 97702-2523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60807650 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1659591352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61141 S HWY 97 # 226",
"city": "BEND",
"state": "OR",
"postal_code": "977022523",
"telephone_number": "425-654-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20273 REED LN",
"city": "BEND",
"state": "OR",
"postal_code": "977022123",
"telephone_number": "425-654-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWE",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHD, LMHC, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH60807650",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5702",
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.