Active NPI
Bree Burch, LPC
- Professional Counselor
- Bend, OR
National Provider Identifier
1811384407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3585
- Practice address
- 2542 NE Courtney Dr
Bend, OR 97701-7685 - Phone
- (541) 706-7730
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3585 | OR | |
| Professional Counselor | 101YP2500X | C3585 | OR | Primary |
Addresses
Primary practice location
2542 NE Courtney Dr
Bend, OR 97701-7685
Mailing address
19781 Baneberry Ave
Bend, OR 97702-3360
Phone (541) 306-0969
Other practice location 1
336 NE Norton Ave Ste 5
Bend, OR 97701-4386
Phone (541) 306-0969
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19781 Baneberry Ave
Bend, OR 97702-3360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3585 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bree Burch Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
918 NE 5th St
Bend, OR 97701
Phone (541) 306-0969
336 NE Norton Ave
Ste 5
Bend, OR 97701
Phone (541) 306-0969
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Bend, OR
- NPI 1720687676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1811384407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19781 BANEBERRY AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977023360",
"telephone_number": "541-306-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017685",
"telephone_number": "541-706-7730"
}
],
"practiceLocations": [
{
"address_1": "336 NE Norton Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977014386",
"country_code": "US",
"telephone_number": "541-306-0969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCH",
"first_name": "BREE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3585",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3585",
"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 Jun 22, 2021; 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.