Active NPI
Melissa Heil
- Professional Counselor
- Bend, OR
National Provider Identifier
1710387139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5177
- Practice address
- 131 NW Hawthorne Ave Ste 210
Bend, OR 97703-2958 - Phone
- (541) 797-4485
- NPI assigned
- Sep 4, 2014
- Last updated
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C5177 | OR | Primary |
Addresses
Primary practice location
131 NW Hawthorne Ave Ste 210
Bend, OR 97703-2958
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7638
Phone (541) 322-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | OR | QMHP |
Other names 1
- Melissa Aegerter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5177 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1710387139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017638",
"telephone_number": "541-322-7500",
"fax_number": "541-322-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 NW HAWTHORNE AVE STE 210",
"city": "BEND",
"state": "OR",
"postal_code": "977032958",
"telephone_number": "541-797-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIL",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QMHP",
"identifier": "101YM0800X",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "AEGERTER",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 16, 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.