AVERY GRACE QMHP NPI 1194268623

NPI Information

  • NPI: 1194268623
  • Provider Name: AVERY GRACE, QMHP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1058 NE 12TH ST
    BEND, OR
    ZIP 97701
  • Phone: (541) 678-5320

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NPI Details

Avery Grace, QMHP is a mental health counselor in Bend, OR. Avery Grace, QMHP NPI is 1194268623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1058 NE 12TH ST
BEND, OR
ZIP 97701-412
Phone: (541) 678-5320

The enumeration date for this NPI number is 12/1/2016 and was last updated on 6/28/2022.

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 License Number License State Primary
1171100000XAcupuncturist17331CALIFORNIANo
2101YM0800XCounselorMental Health22-QMHP-R-1292OREGONYes

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: 3/30/2025

NPI Synchronization or Removal

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