Individual provider Active NPI

Walter I Zeichner, MA

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1659935542
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4239 Issued in OR
Practice address
60980 Bachelor View Rd
Bend, OR 97702-9138
Phone
(802) 232-4205
Fax
(866) 871-8691
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4239 OR Primary

Addresses

Primary practice location

60980 Bachelor View Rd
Bend, OR 97702-9138

Mailing address

985 SW Disk Dr
Bend, OR 97702-3655
Phone (802) 232-4205

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C4239ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1659935542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 SW DISK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023655",
            "telephone_number": "802-232-4205",
            "fax_number": "866-871-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60980 BACHELOR VIEW RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029138",
            "telephone_number": "802-232-4205",
            "fax_number": "866-871-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEICHNER",
        "first_name": "WALTER",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4239",
            "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 Apr 25, 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.

Verify at the official NPI Registry.