Organization Active NPI

Bright Sky Integrative Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bend, OR
National Provider Identifier
1962211433
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BRIGHT SKY INTEGRATIVE RECOVERY
Practice address
151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232
Phone
(541) 906-8448
Fax
(541) 229-1284
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Amy ErberNPI 1558689836
Title
Owner
Phone
(062) 225-8780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232

Mailing address

151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232
Phone (206) 225-8780

Other practice location 1

625 NW Colorado Ave
Bend, OR 97703-3257
Phone (541) 906-8448

Other identifiers 5

IdentifierTypeStateIssuer
1558026898OtherORNPPES
1922699321OtherORNPPES
1043409139OtherTNNPPES
1316464910OtherNPPES
1558689836OtherWANPPES

National Provider Directory

National Provider Directory
Tax ID family
Bright Sky Integrative Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 SW Shevlin Hixon Dr
Ste 102
Bend, OR 97702
Phone (541) 717-3033

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1962211433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SW SHEVLIN HIXON DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023232",
            "telephone_number": "206-225-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SW SHEVLIN HIXON DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023232",
            "telephone_number": "541-906-8448",
            "fax_number": "541-229-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 NW Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977033257",
            "country_code": "US",
            "telephone_number": "541-906-8448",
            "fax_number": "541-229-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT SKY INTEGRATIVE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "ERBER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "062-225-8780"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1558026898",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1922699321",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1043409139",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1316464910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1558689836",
            "state": "WA"
        }
    ],
    "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 Apr 11, 2025; 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.