LUTHERAN COMMUNITY SERVICES NW (NPI# 1093074882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093074882 |
| Entity Type | Organization |
| Organization Name | LUTHERAN COMMUNITY SERVICES NW |
| Other Organization Name | LUTHERAN COMMUNITY SERVICES NW - BEND |
| Practice Address |
2330 Ne Division St Ste 9b Bend OR 97703-3530 |
| Mailing Address |
2545 N Eldorado Ave Klamath Falls OR 97601-6423 |
| Practice Telephone | 5413235333 |
| Practice Fax Number | 5413235854 |
| Mailing Telephone | 5418833471 |
| Mailing Fax Number | 5418833524 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | DANIEL JOHNSTON (CONTRACT AND GRANT ADMINISTRATOR) |
| Authorized Official Telephone | 2068163223 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN COMMUNITY SERVICES NW |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI NUMBER | 1093074882 | 01 |
| OR | 500674445 | 05 | |
| OR | 283234 | 05 |
| Other Name | Type Code |
|---|---|
| Lutheran Community Services NW - Bend | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528199338 | Lutheran Community Services Nw | Community/Behavioral Health | 526 Center St, Lakeview, OR 97630-1518 | 2007-03-07 |
| 1932741550 | Lutheran Community Services Nw | Counselor | 1199 B Ave, Terrebonne, OR 97760-9440 | 2019-10-15 |
| 1396865432 | Lutheran Community Services Nw | Counselor | 410 S Orchard St, Suite 124, Boise, ID 83705-1260 | 2007-03-30 |
| 1720105489 | Lutheran Community Services Nw | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-26 |
| 1396862074 | Lutheran Community Services Nw | Psychologist | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-26 |
| 1114058898 | Lutheran Community Services Nw | Community/Behavioral Health | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-07 |
| Street Address |
2330 NE DIVISION ST STE 9B |
| City | BEND |
| State | OR |
| Zip Code | 97703-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639279318 | Connie J Kersenbrock | Counselor | 2330 Ne Division St Ste 9b, Bend, OR 97703-3530 | 2006-09-23 |
| 1114419603 | Noelle Bruno | Social Worker | 2330 Ne Division St Ste 9b, Bend, OR 97703-3530 | 2018-05-31 |
| 1316204803 | Lacey L. Sawyer | Counselor | 2330 Ne Division St Ste 9b, Bend, OR 97703-3530 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on LUTHERAN COMMUNITY SERVICES NW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.