Individual provider Active NPI

Courtney Rosevear

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1912430414
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6597 Issued in OR
Practice address
1435 NE 4TH St
Bend, OR 97701-4200
Phone
(541) 904-5216
Fax
(541) 527-4347
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6597 OR Primary

Addresses

Primary practice location

1435 NE 4TH St
Bend, OR 97701-4200

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Opted out of Medicare
Yes, effective Jun 24, 2026 through Jun 24, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004263 OR Practitioner - Mental Health Counselor 9234580754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightways Counseling Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Center for Family Development, Inc. Past Accepting new patients
Center for Family Development, Inc. Past Accepting new patients

Locations

1435 NE 4th St
Bend, OR 97701
Phone (541) 625-4327

7515 Falcon Crest Dr
#200
Redmond, OR 97756

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1912430414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014200",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEVEAR",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.