Active NPI
Chelsi Moravetz
- Counselor
- Bend, OR
National Provider Identifier
1912635277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R7764
- Practice address
- 2214 NE Division St Ste 101
Bend, OR 97703-3551 - Phone
- (541) 241-3109
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | R7764 | OR | Primary |
Addresses
Primary practice location
2214 NE Division St Ste 101
Bend, OR 97703-3551
Mailing address
2141 Northeast Division St. Suite 101
Bend, OR 97701
Phone (541) 241-3109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427504 | Other | OR | STATE ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chelsi@northwestdiscovery.org | Direct | Northwest Discovery, LLC |
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 |
|---|---|---|---|
| R7764 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1912635277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 NORTHEAST DIVISION ST. SUITE 101",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-241-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 NE DIVISION ST STE 101",
"city": "BEND",
"state": "OR",
"postal_code": "977033551",
"telephone_number": "541-241-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAVETZ",
"first_name": "CHELSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R7764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "1427504",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chelsi@northwestdiscovery.org",
"affiliation": "Y",
"endpointDescription": "chelsi@northwestdiscovery.org",
"affiliationName": "Northwest Discovery, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2214 NE Division St Ste 101",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977033551",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.