Organization Active NPI

Therapy Talks, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prineville, OR
National Provider Identifier
1912547696
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THERAPY TALKS, LLC
Practice address
190 NW 4TH St
Prineville, OR 97754-1820
Phone
(541) 896-1940
NPI assigned
Jan 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Tony Dicenzo, LMFT
Title
Provider
Phone
(619) 300-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

190 NW 4TH St
Prineville, OR 97754-1820

Mailing address

946 SW Veterans Way Ste 102
Redmond, OR 97756-2745
Phone (541) 896-1940

Other identifiers 1

IdentifierTypeStateIssuer
500684076MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapytalks.org

National Provider Directory

National Provider Directory

Locations

946 SW Veterans Way
Ste 102
Redmond, OR 97756
Phone (619) 300-5224

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1912547696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 SW VETERANS WAY STE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562745",
            "telephone_number": "541-896-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NW 4TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541820",
            "telephone_number": "541-896-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY TALKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "DICENZO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "619-300-5224",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500684076",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapytalks.org",
            "affiliation": "N",
            "address_1": "190 NW 4th St",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977541820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.