Individual provider Active NPI

Loryn Cummins, MA

  • Mental Health Counselor
  • Sisters, OR
National Provider Identifier
1962063545
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6531 Issued in OR
Practice address
257 S Pine St
Sisters, OR 97759-1680
Phone
(541) 719-8544
Fax
(888) 280-0531
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Counselor 101Y00000X
Mental Health Counselor 101YM0800X C6531 OR Primary

Addresses

Primary practice location

257 S Pine St
Sisters, OR 97759-1680

Mailing address

PO Box 1437
Sisters, OR 97759-1437
Phone (541) 719-8544

Other practice location 1

361 NE Franklin Ave Bldg E
Bend, OR 97701-4917
Phone (541) 815-9039

Other practice location 2

750 Buckaroo Trl
Sisters, OR 97759-9427
Phone (541) 815-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228004698 OR Practitioner - Mental Health Counselor 2668824574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C6531ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roost Counseling LLC Mental Health CurrentSince Dec 17, 2023 Accepting new patients

Locations

257 S Pine St
Sisters, OR 97759
Phone (541) 719-8544

Organizations & group practices 1

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1962063545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1437",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591437",
            "telephone_number": "541-719-8544",
            "fax_number": "888-280-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S PINE ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591680",
            "telephone_number": "541-719-8544",
            "fax_number": "888-280-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 NE Franklin Ave Bldg E",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014917",
            "country_code": "US",
            "telephone_number": "541-815-9039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Buckaroo Trl",
            "address_purpose": "LOCATION",
            "city": "Sisters",
            "state": "OR",
            "postal_code": "977599427",
            "country_code": "US",
            "telephone_number": "541-815-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "LORYN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

Verify at the official NPI Registry.