Active NPI
Myers Neurofeedback & Counseling, LLC
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1669256293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MYERS NEUROFEEDBACK & COUNSELING, LLC
- Practice address
- 671 NE Greenwood Ave Unit 3
Bend, OR 97701-4513 - Phone
- (925) 451-6100
- Fax
- (925) 775-7032
- NPI assigned
- Aug 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Anne Myers, LCSW
- Title
- Owner/Clinician
- Phone
- (925) 451-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
671 NE Greenwood Ave Unit 3
Bend, OR 97701-4513
Mailing address
320 SW Century Dr Ste 405183
Bend, OR 97702-3037
Phone (925) 451-6100
National Provider Directory
National Provider DirectoryLocations
320 SW Century Dr
Ste 405183
Bend, OR 97702
671 NE Greenwood Ave
Unit 3
Bend, OR 97701
Phone (925) 451-6100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bend, OR
- NPI 1336281922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1669256293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SW CENTURY DR STE 405183",
"city": "BEND",
"state": "OR",
"postal_code": "977023037",
"telephone_number": "925-451-6100",
"fax_number": "925-775-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 NE GREENWOOD AVE UNIT 3",
"city": "BEND",
"state": "OR",
"postal_code": "977014513",
"telephone_number": "925-451-6100",
"fax_number": "925-775-7032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYERS NEUROFEEDBACK & COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "925-451-6100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Aug 23, 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.