Individual provider Active NPI

Kathleen Robbins, LPC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1659799229
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4960 Issued in OR
Practice address
1860 NE 4TH St
Bend, OR 97701-3822
Phone
(801) 694-4587
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 59764396004 UT
Mental Health Counselor 101YM0800X C4960 OR Primary

Addresses

Primary practice location

1860 NE 4TH St
Bend, OR 97701-3822

Mailing address

2919 NE Marea Dr
Bend, OR 97701-7002
Phone (801) 694-4587

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

LicenseStateTypeSpecialty
C4960ORMDMental Health Counselor
59764396004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seek. Therapeutic Wellness LLC Mental Health CurrentSince Mar 22, 2020 Accepting new patients

Locations

1860 NE 4th St
Bend, OR 97701
Phone (541) 788-0737

625 NW Colorado Ave
Bend, OR 97703
Phone (541) 383-0754

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1659799229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 NE MAREA DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017002",
            "telephone_number": "801-694-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013822",
            "telephone_number": "801-694-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "59764396004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4960",
            "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 6, 2023; 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.