Organization Active NPI

Walter J Lee Ms LPC Edd

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1790308195
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WALTER J LEE MS LPC EDD
Practice address
61396 S Hwy 97 Ste 230
Bend, OR 97702-2558
Phone
(541) 647-0865
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Walter J Lee, LPCNPI 1720255789
Title
Counselor
Phone
(541) 647-0865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

61396 S Hwy 97 Ste 230
Bend, OR 97702-2558

Mailing address

61396 S Hwy 97 Ste 230
Bend, OR 97702-2558
Phone (541) 647-0865

National Provider Directory

National Provider Directory

Locations

61396 S Highway 97
Ste 230
Bend, OR 97702
Phone (314) 200-5594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1790308195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61396 S HWY 97 STE 230",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022558",
            "telephone_number": "541-647-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61396 S HWY 97 STE 230",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022558",
            "telephone_number": "541-647-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J LEE MS LPC EDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "541-647-0865",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.