Cheyenne Nieblas-Herrera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11476 Issued in OR

Practice address

62930 OB Riley Rd Ste 200
Bend, OR 97703-9459

Phone

(541) 330-1919

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cheyenne.nieblas.1@28621.direct.athenahealth.com

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.

• Valley View Mental Health Services, Inc

  • Professional Counselor
  • Roseburg, OR
  • NPI 1437297140

  Clinical

  Medicare reassignment NPD
• Eugene Therapy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1295065530
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1740847227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013380",
            "telephone_number": "541-868-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62930 OB RILEY RD STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039459",
            "telephone_number": "541-330-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51600 Huntington Rd",
            "address_purpose": "LOCATION",
            "city": "LA Pine",
            "state": "OR",
            "postal_code": "977398887",
            "country_code": "US",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Proton Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584203",
            "country_code": "US",
            "telephone_number": "210-228-9923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1652 NW Hughwood Ct",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974718844",
            "country_code": "US",
            "telephone_number": "541-673-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEBLAS-HERRERA",
        "first_name": "CHEYENNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-87318",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela C Nicholls
• Claire Therese Nichols, MA, NCC, LPC-INTERN
• Krystin Nichols
• Debra E Nicholson, RN
• Carly Jane Nicolau
• Ashley Niemeyer, PH.D.
• Debbie Elaine Nieradka
• Elizabeth Nierman, LMT
• Susan Nierman
• Sarah Baldwin Nijalapuram, RN

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.