Active NPI
Jeremy Osborne
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1780498287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1646 NE Edgecliff Cir
Bend, OR 97701-4159 - Phone
- (541) 728-0465
- Fax
- (541) 728-0726
- NPI assigned
- Feb 4, 2025
- 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 | Primary |
Addresses
Primary practice location
1646 NE Edgecliff Cir
Bend, OR 97701-4159
Mailing address
755 NE Negus PL
Redmond, OR 97756-8224
Phone (512) 567-4698
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": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1780498287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NE NEGUS PL",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568224",
"telephone_number": "512-567-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 NE EDGECLIFF CIR",
"city": "BEND",
"state": "OR",
"postal_code": "977014159",
"telephone_number": "541-728-0465",
"fax_number": "541-728-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
- Eric Thomas Ory, M.D
- Justin Clay Osborn
- Nathan Forrest Osborn, M.D.
- Casey A Osborne-Rodhouse, PA
- Brittney Osborne, PMHNP-BC
- Linda Marie Osborne
- Therese Osborne, DC
- Wynne Louise Osborne, LPC
- Sarah Osmulski, MD
- Osprey Physical Therapy and Sports Medicine, LLC. (Osprey Physical Therapy and Sports Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.