Active NPI
Mark Aceberos
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1780315556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 655 NE Ross Rd Apt 330
Bend, OR 97701-5909 - Phone
- (510) 786-8556
- NPI assigned
- Jun 22, 2022
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
655 NE Ross Rd Apt 330
Bend, OR 97701-5909
Mailing address
655 NE Ross Rd Apt 330
Bend, OR 97701-5909
Phone (510) 786-8556
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1780315556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 NE ROSS RD APT 330",
"city": "BEND",
"state": "OR",
"postal_code": "977015909",
"telephone_number": "510-786-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 NE ROSS RD APT 330",
"city": "BEND",
"state": "OR",
"postal_code": "977015909",
"telephone_number": "510-786-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEBEROS",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Isabelle Abrams, MSCP, BA NUTR
- Emily Abreu, MS, CCC-SLP
- Jeffrey V Absalon, MD
- Linda A Absalon, PT
- Accident Care Chiropractic and Massage of Bend (Accident Care Chiropractic)
- Diana R Ackerman, M.D.
- Action Dynamix Massage, LLC
- Active Life Therapeutic Massage
- Active Wellness Center LLC
- Acupuncture Cascadia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.