Linda Shekerdemian, M.ED. L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1878 Issued in OR

Practice address

25 NW Park PL
Bend, OR 97703-2954

Phone

(541) 815-9675

NPI assigned

Feb 26, 2007

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

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1780710541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW PARK PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032954",
            "telephone_number": "541-815-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NW PARK PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032954",
            "telephone_number": "541-815-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKERDEMIAN",
        "first_name": "LINDA",
        "credential": "M.ED. L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Lutz DC LLC
• Michelle Louise Shawver, PSY.D.
• Laura Shea
• Rita Marie Shearer, RN CDE
• Kamer Sheeter, LMT
• Shelby Chiropractic
• Tyge Brandon Shelby, D.C.
• Sarah Frederick Shelton, MD
• Sheri Ann Shelton, PT
• Jason Shen, MD

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.