LUTHERAN COMMUNITY SERVICES NW NPI 1093074882

NPI Information

NPI: 1093074882
Provider Name: LUTHERAN COMMUNITY SERVICES NW

Other Name: LUTHERAN COMMUNITY SERVICES NW - BEND

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2330 NE DIVISION ST STE 9B
BEND, OR
ZIP 97703
Phone: (541) 323-5333
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LUTHERAN COMMUNITY SERVICES NW is a mental health counselor in Bend, OR. LUTHERAN COMMUNITY SERVICES NW NPI is 1093074882. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Lutheran Community Services Nw - Bend.

The provider's business location address is:

2330 NE DIVISION ST STE 9B
BEND, OR
ZIP 97703-530
Phone: (541) 323-5333
Fax: (541) 323-5854

The provider's authorized official is Daniel Johnston .
The authorized official title is Contract And Grant Administrator and has the following contact phone number (206) 816-3223.

The enumeration date for this NPI number is 5/14/2012 and was last updated on 10/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	251S00000X	Community/Behavioral Health		No
3	305R00000X	Preferred Provider Organization		No
4	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1093074882	OTHER	OREGON	NPI NUMBER
2	500674445	MEDICAID	OREGON
3	283234	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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