Liesl Mimi Farnsworth, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2915 Issued in OR

Practice address

552 NW Saginaw Ave # 2
Bend, OR 97703-1120

Phone

(541) 388-1261

Fax

(541) 306-4577

NPI assigned

May 3, 2010

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Liesl Farnsworth, PHD, LPC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1861034951
  NPD Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750608543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 NW SAGINAW AVE # 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031120",
            "telephone_number": "541-388-1261",
            "fax_number": "541-668-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 NW SAGINAW AVE # 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031120",
            "telephone_number": "541-388-1261",
            "fax_number": "541-306-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "LIESL",
        "middle_name": "MIMI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-09-11",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Farias Rivera
• Christina Farleigh, MSN, FNP-C, PMHNP-BC
• Niloofar Leyla Farmani, M.D.
• Belinda Farmer
• Michele McNulty Farneth, P.T.
• Tori Lynn Farr, LCSW
• Erynn Farrell, MS, LPC
• Andrea Renee Farrin Bradley, LPC
• Brittny N Farris
• Joseph Matthew Farris, D.C.

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.