Individual provider Active NPI

Lisa Marie Jobay, LPC, R-DMT

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1952853442
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5758 Issued in OR
Practice address
60575 Billadeau Rd
Bend, OR 97702-9338
Phone
(541) 382-9410
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5758 OR Primary

Addresses

Primary practice location

60575 Billadeau Rd
Bend, OR 97702-9338

Mailing address

61843 Dobbin Rd
Bend, OR 97702-9536
Phone (458) 206-0337

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

LicenseStateTypeSpecialty
C5758ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Strides, LLC. PastSince Feb 21, 2021 Accepting new patients
Healing Reins Equine Assisted Services Inc Past Accepting new patients

Organizations & group practices 2

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1952853442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61843 DOBBIN RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029536",
            "telephone_number": "458-206-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60575 BILLADEAU RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029338",
            "telephone_number": "541-382-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBAY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPC, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5758",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2024; 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.