Organization Active NPI

Myers Neurofeedback & Counseling, LLC

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1669256293
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mrs. Nancy Anne Myers, LCSWNPI 1336281922
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.