JACEY ELLEN RIEDL LPC-INTERN NPI 1568035525

NPI Information

NPI: 1568035525
Provider Name: JACEY ELLEN RIEDL, LPC-INTERN
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
BLISSFUL HEART WELLNESS CENTER
29 NW GREELEY AVENUE
BEND, OR
ZIP 97703
Phone: (303) 868-5241
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Jacey Ellen Riedl, LPC-INTERN is a professional counselor in Bend, OR. Jacey Ellen Riedl, LPC-INTERN NPI is 1568035525. 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:

BLISSFUL HEART WELLNESS CENTER
29 NW GREELEY AVENUE
BEND, OR
ZIP 97703-414
Phone: (303) 868-5241

The enumeration date for this NPI number is 7/19/2021 and was last updated on 12/1/2023.

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
1	101YP2500X	Counselor	Professional	R6395	OREGON	No
2	101YP2500X	Counselor	Professional	C7786	OREGON	Yes

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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