Santiam Counseling Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SANTIAM COUNSELING CENTER, INC.

Practice address

361 NE Franklin Ave
BLD E, Ste 11
Bend, OR 97701

Phone

(541) 633-0997

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael Becker, PH.D.NPI 1043627383

Title

Executive Director

Phone

(541) 272-8550

Specialties & licenses 1

Addresses

Other names 1

• Santiam Counseling Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Becker, PHD, LPC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1043627383
  NPD Authorized official
• Michael Coe

  • Mental Health Counselor
  • Bend, OR
  • NPI 1457997967
  NPD

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1699317362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SW CENTURY DR STE 100-160",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NE FRANKLIN AVE",
            "address_2": "BLD E, STE 11",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-633-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAM COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-272-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santiam Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Arlene Sandoval
• Cherisa Sandrow, D.O.
• Christy Lee Sands, PT, DPT
• Mark Worrall Sands, M.D.
• Emily Santi
• Cirila Sarinana Santillano
• Kristien Santin
• Shannon Santos, LMT
• Ashley Aurora Sapin, ARNP
• Fred J Saporito, PHD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.