Liesl Farnsworth, PHD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIESL FARNSWORTH, PHD, LPC

Practice address

552 NW Saginaw Ave # 2
Bend, OR 97703-1120

Phone

(541) 388-1261

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Liesl Farnsworth, PHD, LPCNPI 1750608543

Title

Owner

Phone

(541) 388-1261

Specialties & licenses 2

Addresses

Other names 1

• Liesl Farnsworth, PhD, LPC Doing business as

Locations

Practitioners 1

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

• Liesl Mimi Farnsworth, PHD

  • Mental Health Counselor
  • Bend, OR
  • NPI 1750608543
  NPD Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1861034951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 NW SAGINAW AVE # 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031120",
            "telephone_number": "541-388-1261",
            "fax_number": "541-306-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 NW SAGINAW AVE # 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031120",
            "telephone_number": "541-388-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIESL FARNSWORTH, PHD, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "LIESL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-388-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liesl Farnsworth, PhD, LPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liesl Farnsworth, PhD, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Janelle Liebel
• Stephanie Liebelt, LMT
• Leah Lieber, D.O.
• Bari Liebowitz, DC
• Brandon W Lien, CADC-I
• Life Balance Bend LLC
• Life Dynamics LLC
• Life Works of Central Oregon, LLC
• Lifesource Therapy LLC
• Lifestyle Medicine of Central Oregon, PC

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.