Active NPI
Trailhead Counseling Collective
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1841016177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TRAILHEAD COUNSELING COLLECTIVE
- Practice address
- 20761 Majestic CT
Bend, OR 97701-8322 - Phone
- (541) 203-3968
- NPI assigned
- Dec 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- McKenzie Storms, MA, LPC
- Title
- Licensed Professional Counselor
- Phone
- (541) 203-3968
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
20761 Majestic CT
Bend, OR 97701-8322
Mailing address
2355 State St Ste 101
Salem, OR 97301-4541
National Provider Directory
National Provider DirectoryPractitioners & 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": "1733184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1841016177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 STATE ST STE 101",
"city": "SALEM",
"state": "OR",
"postal_code": "973014541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20761 MAJESTIC CT",
"city": "BEND",
"state": "OR",
"postal_code": "977018322",
"telephone_number": "541-203-3968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAILHEAD COUNSELING COLLECTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-03",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "STORMS",
"authorized_official_first_name": "MCKENZIE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "541-203-3968",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.