Jessica Rae, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2955 N Hwy 97
Bend, OR 97703-7559

Phone

(541) 203-0474

Fax

(541) 610-1692

NPI assigned

Apr 18, 2025

Last updated

Dec 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Rae Psychotherapy LLC

  • Clinical Social Worker
  • Bend, OR
  • NPI 1417810946
  NPD Authorized official

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1881480408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091041",
            "telephone_number": "541-203-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "541-203-0474",
            "fax_number": "541-610-1692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 SW Emkay Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023162",
            "country_code": "US",
            "telephone_number": "541-708-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAE",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates, PC
• Molly Radis, PNP
• Catherine Radovich
• Mareike Raduechel
• Scott Radzik, MS, LPC, NCC
• Allen Rafael, MD
• Sarah Elizabeth Rafail, CD, RN
• Kristin Asta Ragnarsson, M.S., CCC-SLP
• Joshua David Raines, MD
• Anna Rainwater, DAHM. L.AC

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.