Active NPI
Richard Schuurman, LMFT
- Marriage & Family Therapist
- Bend, OR
National Provider Identifier
1902107501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0100
- Practice address
- 2084 NE Professional CT
Bend, OR 97701-6077 - Phone
- (541) 383-3005
- Fax
- (541) 383-1883
- NPI assigned
- Nov 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0100 | OR | Primary |
Addresses
Primary practice location
2084 NE Professional CT
Bend, OR 97701-6077
Mailing address
375 NW Beaver St
Suite 101
Prineville, OR 97754-1802
Phone (541) 447-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226654 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0100 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435363200000",
"number": "1902107501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 NW BEAVER ST",
"address_2": "SUITE 101",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541802",
"telephone_number": "541-447-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016077",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUURMAN",
"first_name": "RICHARD",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-12",
"last_updated": "2015-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226654",
"state": "OR"
}
],
"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 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.