Active NPI
Marble Counseling & Consulting, LLC
- Mental Health Counselor
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MARBLE COUNSELING & CONSULTING, LLC
- Practice address
- 70 SW Century Dr Ste 100-5038
Bend, OR 97702-3557 - Phone
- (541) 668-6141
- Fax
- (541) 236-0332
- NPI assigned
- Dec 8, 2021
- 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
- Rachael Marble Leary, MA, LPC
- Title
- Licensed Professional Counselor
- Phone
- (541) 668-6141
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
70 SW Century Dr Ste 100-5038
Bend, OR 97702-3557
Mailing address
70 SW Century Drive Ste. 100 PMB 5038
Bend, OR 97702
Phone (541) 668-6141
Other practice location 1
376 SW Bluff Dr Ste 2
Bend, OR 97702-1399
Phone (541) 668-6141
Other practice location 2
2424 SW Pumice Ave.
Redmond, OR 97756
Phone (541) 668-6141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700545522 | Other | OR | NPI2 |
| 500802970 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
376 SW Bluff Dr
Ste 2
Bend, OR 97702
Phone (541) 668-6141
70 SW Century Dr
Ste 1005038
Bend, OR 97702
Phone (541) 668-6141
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Redmond, OR
- NPI 1043638448
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Bend, OR
- NPI 1902298151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1700545522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SW CENTURY DRIVE STE. 100 PMB 5038",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-668-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 SW CENTURY DR STE 100-5038",
"city": "BEND",
"state": "OR",
"postal_code": "977023557",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332"
}
],
"practiceLocations": [
{
"address_1": "376 SW Bluff Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977021399",
"country_code": "US",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 SW Pumice Ave.",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "97756",
"country_code": "US",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARBLE COUNSELING & CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "LEARY",
"authorized_official_first_name": "RACHAEL",
"authorized_official_middle_name": "MARBLE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "541-668-6141",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI2",
"identifier": "1700545522",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500802970",
"state": "OR"
}
],
"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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.