Russell Patrick Droll

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

45 NW Greeley Ave
Bend, OR 97703-2943

Phone

(541) 205-9159

Fax

(458) 202-4681

NPI assigned

Aug 10, 2018

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pura Vida Counseling LLC

  • Professional Counselor
  • Bend, OR
  • NPI 1114898939
  NPD (past) Authorized official
• Bright Horizons Psychiatric Group LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Redmond, OR
  • NPI 1629724695
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1679052591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "541-205-9159",
            "fax_number": "458-202-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "541-205-9159",
            "fax_number": "458-202-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROLL",
        "first_name": "RUSSELL",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney K Drew, PA-C
• Aleah Driscoll, PA-C
• Chanda Maureen Driscoll, LCSW
• Driven Enterprises PC
• Robin Droege, LPCI
• Drop Thesis
• Marci Drum
• Jeffrey Drutman, MD
• Douglas True Dryden, MD
• Wendy Yerington Dryden, M.D.

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.