Individual provider Active NPI

Nicholas Ryan Schneider, LPC

  • Professional Counselor
  • Redmond, OR
National Provider Identifier
1740733815
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5041 Issued in OR
Practice address
1655 SW Highland Ave
3
Redmond, OR 97756-2558
Phone
(541) 923-2654
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C5041 OR Primary
Mental Health Counselor 101YM0800X OR

Addresses

Primary practice location

1655 SW Highland Ave
3
Redmond, OR 97756-2558

Mailing address

20611 Daisy LN
Bend, OR 97702-2877
Phone (515) 974-9547

Other practice location 1

360 SW Bond St Ste 330
Bend, OR 97702-3556
Phone (541) 706-2768

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nschneider142153@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240116001825 OR Practitioner - Mental Health Counselor 7315399367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, 174 clinicians

Practice addresses (Care Compare)

360 SW Bond St
Suite 330
Bend, OR 97702-3556
Phone (541) 706-2768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5041ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

360 SW Bond St
Ste 330
Bend, OR 97702
Phone (541) 706-7730

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1740733815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20611 DAISY LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022877",
            "telephone_number": "515-974-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SW HIGHLAND AVE",
            "address_2": "3",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562558",
            "telephone_number": "541-923-2654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 SW Bond St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023556",
            "country_code": "US",
            "telephone_number": "541-706-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5041",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nschneider142153@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "360 SW Bond St Ste 330",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977023556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.