Bend Therapist, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L5470 Issued in OR

Legal business name

BEND THERAPIST, LLC

Practice address

2140 NW Clearwater Dr
Bend, OR 97701-7013

Phone

(541) 410-5603

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Rosen, LCSW

Title

Provider

Phone

(541) 410-5603

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1962881706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR",
            "address_2": "SUITE 301",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011574",
            "telephone_number": "541-410-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 NW CLEARWATER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017013",
            "telephone_number": "541-410-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND THERAPIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-410-5603",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bend, OR
• Providers in Bend, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.