Active NPI
Therapy Talks, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prineville, OR
National Provider Identifier
1912547696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500684076 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | therapytalks.org |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Redmond, OR
- NPI 1104160050
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.