| Alexis Smith, | |
|
2480 Ne Twin Knolls Dr, Bend, OR 97701-6833 | |
| (541) 758-5900 | |
| Not Available |
| Full Name | Alexis Smith |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 2480 Ne Twin Knolls Dr, Bend, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093317398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoreline Counseling Llc | 4587985049 | 26 |
| Entity Name | Shoreline Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437548807 PECOS PAC ID: 4587985049 Enrollment ID: O20150609001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Smith, 3415 Se Powell Blvd, Portland, OR 97202-3371 Ph: (503) 234-9591 | Alexis Smith, 2480 Ne Twin Knolls Dr, Bend, OR 97701-6833 Ph: (541) 758-5900 |
Mr. Joshua Seth Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 63360 Nw Britta St Ste 1, Bend, OR 97701 Phone: 541-318-4845 |
Joanne White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-322-7565 |
Jenny Marie Wolleat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1646 Ne Edgecliff Cir, Bend, OR 97701 Phone: 971-506-5366 |
Kimberly M Richards, LPC, MS Counselor Medicare: Medicare Enrolled Practice Location: 1005 Sw Disk Dr Ste 104, Bend, OR 97702 Phone: 541-419-9949 |
Natalie Sophia Schwartzbauer, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 61690 Pettigrew Rd, Bend, OR 97702 Phone: 541-324-0873 Fax: 541-625-2825 |
Tania Kneuer, OTL ASDCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 63368 Saddleback Dr, Bend, OR 97703 Phone: 541-390-1493 Fax: 541-322-7565 |
Mrs. Stacy Ann Campbell, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Nw Park Pl, Bend, OR 97703 Phone: 208-577-1595 Fax: 541-640-5538 |