SARAH PETERSON LCSW LLC (NPI# 1316503105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316503105 |
| Entity Type | Organization |
| Organization Name | SARAH PETERSON LCSW LLC |
| Practice Address |
19795 Village Office Ct Bend OR 97702-1922 |
| Mailing Address |
63480 Phoenix Way Bend OR 97701-8009 |
| Practice Telephone | 5417718769 |
| Mailing Telephone | 5417718769 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | SARAH ELIZABETH PETERSON (OWNER) |
| Authorized Official Telephone | 5417718769 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
19795 VILLAGE OFFICE CT |
| City | BEND |
| State | OR |
| Zip Code | 97702-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366008856 | Sarah Elizabeth Peterson | Social Worker | 19795 Village Office Ct, Bend, OR 97702-1922 | 2019-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240386 | Peace of Mind Functional Medicine | Clinic/Center | 151 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-3233 | 2020-03-18 |
| 1144866096 | Katie Ford Lpc Mft | Clinic/Center | 143 Sw Shevlin Hixon Dr, Bend, OR 97702-3189 | 2019-11-25 |
| 1821550807 | Sunstone Recovery LLC | Clinic/Center | 625 Nw Colorado Ave, Bend, OR 97701 | 2019-04-01 |
| 1275055279 | Susan Clfford | Clinic/Center | 2401 Nw High Lakes Loop, Bend, OR 97703-6968 | 2017-07-11 |
| 1790058311 | Life Dynamics LLC | Clinic/Center | 2100 Ne Neff Rd Ste B, Bend, OR 97701-6213 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1639793367 | Northwest Geriactrics | Clinic/Center | 10365 Se Sunnyside Rd Ste 340, Clackamas, OR 97015-5751 | 2020-05-28 |
| 1366065872 | Caring Hands Residential Services LLC | Clinic/Center | 16220 Se Mckinley Ave, Clackamas, OR 97015-9418 | 2020-05-19 |
| 1972139947 | Kevin Ryan PC | Clinic/Center | 119 E 2nd St Ste 210, The Dalles, OR 97058-1796 | 2020-03-21 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1154802403 | Dr. Asha Stephen, LLC | Clinic/Center | 1234 Pearl St Ste 7, Eugene, OR 97401-3642 | 2018-08-24 |
| 1891272324 | Cressall Psychiatric LLC | Clinic/Center | 240 E 12th Ave, Eugene, OR 97401-3245 | 2018-07-26 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| 1134633100 | Paul Myers, Ph.d., LLC | Clinic/Center | 5441 Sw Macadam Ave Ste 104, Portland, OR 97239-3821 | 2017-11-28 |
| Find all providers with the same taxonomy | ||||
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| 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.