Mary W Lacrosse, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R9874 Issued in OR

Practice address

2955 N Hwy 97 # 206
Bend, OR 97703-7559

Phone

(541) 213-7755

NPI assigned

Sep 21, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mimi Lacrosse Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1861304107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97 # 206",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "541-213-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97 # 206",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "541-213-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROSSE",
        "first_name": "MARY",
        "middle_name": "W",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "LACROSSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Lynn La Scala, R.N.
• Stephanie Lachance
• Gary S. Lachenmyer, P.A.
• Jennifer G. Lachman, M.D.
• K. Brandi Lacre, ND
• Amy Lynnette Lafferty, MS, OTR-L, LMT
• Rebecca Lafond, LMT
• Hilary Lahey, M.S., CCC-SLP
• Katie Marie Lahusen
• Ruthie Anne Lai, B.S.

• 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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.