Individual provider Active NPI

Elysia Oliver, LPC, LCPC

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1801343082
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
516 SW 13TH St Ste 201
Bend, OR 97702-3442
Phone
(541) 640-3031
Fax
(541) 550-1459
NPI assigned
Sep 6, 2016
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Mental Health Counselor 101YM0800X C7673 OR

Addresses

Primary practice location

516 SW 13TH St Ste 201
Bend, OR 97702-3442

Mailing address

516 SW 13TH St Ste 201
Bend, OR 97702-3442
Phone (541) 640-3031

Other practice location 1

369 NE Revere Ave Ste 101
Bend, OR 97701
Phone (541) 728-0062

Other practice location 2

4600 Kietzke Ln # J-212
Reno, NV 89502
Phone (775) 348-9047 ext. 89047

Other practice location 3

4600 Kietzke Ln # J-212
Reno, NV 89502
Phone (775) 348-9047 ext. 89047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 18, 2024 through Jun 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C7673ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Wellness Services Mental Health CurrentSince Jun 23, 2024 Accepting new patients
Elysia Oliver Counseling LLC Mental Health Current Accepting new patients
Kids First Family Services Past Accepting new patients

Locations

516 SW 13th St
Ste 201
Bend, OR 97702
Phone (541) 292-9977

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1801343082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-640-3031",
            "fax_number": "541-550-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-640-3031",
            "fax_number": "541-550-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 NE Revere Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97701",
            "country_code": "US",
            "telephone_number": "541-728-0062",
            "fax_number": "541-306-6733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Kietzke Ln # J-212",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "775-348-9047 x89047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Kietzke Ln # J-212",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "775-348-9047 x89047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ELYSIA",
        "credential": "LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.