Organization Active NPI

Deep Water Counseling

  • Professional Counselor
  • Redmond, OR
National Provider Identifier
1801641246
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DEEP WATER COUNSELING
Practice address
128 W Antler Ave
Redmond, OR 97756-1852
Phone
(541) 604-2646
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Sherry Y Macias, LPCNPI 1235750142
Title
Owner
Phone
(541) 604-2646

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

128 W Antler Ave
Redmond, OR 97756-1852

Mailing address

915 SW Rimrock Way # 201-271
Redmond, OR 97756-2570
Phone (541) 604-2646

National Provider Directory

National Provider Directory

Locations

915 SW Rimrock Way
#201271
Redmond, OR 97756

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1801641246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SW RIMROCK WAY # 201-271",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562570",
            "telephone_number": "541-604-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W ANTLER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561852",
            "telephone_number": "541-604-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP WATER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-604-2646",
        "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 Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.