Consumer Empowerment Fiscal Agent

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

0700000605 Issued in OR

Legal business name

CONSUMER EMPOWERMENT FISCAL AGENT

Practice address

999 SW Disk Dr Ste 102a
Bend, OR 97702-3060

Phone

(541) 322-9556

Fax

(541) 322-9778

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Coffey

Title

Ceo

Phone

(541) 322-9556

Specialties & licenses 1

Addresses

Other names 1

• consumer Empowerment Services Other name

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730258963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SW DISK DR STE 102A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023060",
            "telephone_number": "541-322-9556",
            "fax_number": "541-322-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SW DISK DR STE 102A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023060",
            "telephone_number": "541-322-9556",
            "fax_number": "541-322-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER EMPOWERMENT FISCAL AGENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-322-9556"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "OR",
            "license": "0700000605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "consumer Empowerment Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Connie J Kersenbrock, LCSW
• Nicholas Charles Connolly, M.D.
• Naime Nansen Conrad, LCSW
• Bryden Considine, DO
• Emma Considine, D.O
• Virginia E Contento
• Claudia Juliana Contreras
• Kelsey Elizabeth Converse, MS, NCC, LPC, QMHP
• Elizabeth M Conway, LPC
• Emma Pearl Conway

• Supports Brokerage Agency in Bend, OR
• Providers in Bend, OR by specialty
• Supports Brokerage Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.