Mo Mitchell Psychotherapy, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MO MITCHELL PSYCHOTHERAPY, INC.

Practice address

400 SW Bluff Dr Ste 200
Bend, OR 97702-1697

Phone

(541) 550-8901

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Moreen Marie Mitchell, MA, LPC

Title

President

Phone

(541) 550-8901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1982265211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW BLUFF DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW BLUFF DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021697",
            "telephone_number": "541-550-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MO MITCHELL PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MOREEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-550-8901",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Mitchell, OTD QMHP
• Moreen M Mitchell
• Scott Mitchell
• Kiara Patrice Mixon
• Lisa Kristine Mizeur, FNP
• Mobile Physical Therapy, LLC
• Alexander Mockaitis
• James Mockaitis, LPC
• Travis Mockler
• Kathleen E Moerschell, R.D., L.D.

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.