| Brightways Counseling Group Llc | |
|
7515 Falcon Crest Dr # 200 Redmond OR 97756-5014 | |
| (541) 904-5216 | |
| (541) 527-4347 |
| Full Name | Brightways Counseling Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7515 Falcon Crest Dr # 200, Redmond, Oregon |
| Authorized Official Name and Position | Kevin Shaw (OWNER) |
| Authorized Official Contact | 5419045216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightways Counseling Group Llc 7515 Falcon Crest Dr Ste 200 Redmond OR 97756-5014 Ph: (541) 904-5216 | Brightways Counseling Group Llc 7515 Falcon Crest Dr # 200 Redmond OR 97756-5014 Ph: (541) 904-5216 |
| NPI Number | 1689191165 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 4688907827 |
|---|---|
| Medicare Enrollment ID | O20190603003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689191165 | NPI | - | NPPES |
| 500652521 | Medicaid | OR |
| Provider Name | Holly Joanne Moore-lohmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710092176 PECOS PAC ID: 6002843398 Enrollment ID: I20130710000120 |
| Provider Name | Sharlynn Van Tassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366991846 PECOS PAC ID: 8820371883 Enrollment ID: I20170508002085 |
| Provider Name | Kelly N Kahlert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740578194 PECOS PAC ID: 5698015816 Enrollment ID: I20190325001930 |
| Provider Name | Nicole S Brenneman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215305446 PECOS PAC ID: 1456788793 Enrollment ID: I20200327000683 |
| Provider Name | Alysia Gail Bassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356611008 PECOS PAC ID: 5496168460 Enrollment ID: I20210112001854 |
| Provider Name | Clara Nell Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225531320 PECOS PAC ID: 4284047119 Enrollment ID: I20210113001797 |
| Provider Name | Amanda Hay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023272416 PECOS PAC ID: 3779762646 Enrollment ID: I20210222002421 |
| Provider Name | Katie Brobeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881052009 PECOS PAC ID: 5092121145 Enrollment ID: I20210315002591 |
| Provider Name | Kirsten Romney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023430923 PECOS PAC ID: 7315354594 Enrollment ID: I20210406001419 |
| Provider Name | Lindsey James Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750716072 PECOS PAC ID: 3476961988 Enrollment ID: I20210422001460 |
| Provider Name | Cara Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003212325 PECOS PAC ID: 6103208657 Enrollment ID: I20220801002228 |
| Provider Name | Mickina Biagi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306498902 PECOS PAC ID: 3274916549 Enrollment ID: I20220818002886 |
| Provider Name | Molly Maloney Nunes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881210508 PECOS PAC ID: 9436533262 Enrollment ID: I20220829001621 |
| Provider Name | Rick Earl Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871135293 PECOS PAC ID: 3678959988 Enrollment ID: I20221010001713 |
| Provider Name | Lupita Pena-baltazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104050947 PECOS PAC ID: 9335513431 Enrollment ID: I20230313000272 |
| Provider Name | Maria Guadalupe Cardenas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790294312 PECOS PAC ID: 7214301324 Enrollment ID: I20230313000808 |
| Provider Name | Brigid Eileen Koeppen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497898464 PECOS PAC ID: 2567836455 Enrollment ID: I20230315002801 |
| Provider Name | Anyssa N Haberkorn-gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760039069 PECOS PAC ID: 3274908462 Enrollment ID: I20230330002455 |
| Provider Name | Munachiso Iheonunekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922505908 PECOS PAC ID: 3274882352 Enrollment ID: I20230908002492 |
| Provider Name | Brittney Gillyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053893487 PECOS PAC ID: 7810327145 Enrollment ID: I20231023001158 |
| Provider Name | Christina Liu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174169239 PECOS PAC ID: 3779939467 Enrollment ID: I20231101002029 |
| Provider Name | Sara Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629600259 PECOS PAC ID: 9032569306 Enrollment ID: I20231228002521 |
| Provider Name | Christina L Toney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639209182 PECOS PAC ID: 4385094424 Enrollment ID: I20240102001387 |
| Provider Name | Mania Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356894133 PECOS PAC ID: 8325498421 Enrollment ID: I20240102003490 |
| Provider Name | Rosemary Anne Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033513825 PECOS PAC ID: 0547610644 Enrollment ID: I20240102003690 |
| Provider Name | Russell Patrick Droll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679052591 PECOS PAC ID: 6800246901 Enrollment ID: I20240102003746 |
| Provider Name | Franklyn Michael Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144843640 PECOS PAC ID: 5799135729 Enrollment ID: I20240103000867 |
| Provider Name | Daniel Patterson Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710324264 PECOS PAC ID: 9335599372 Enrollment ID: I20240103001247 |
| Provider Name | Patricia Yamileth Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275898140 PECOS PAC ID: 4789035791 Enrollment ID: I20240103004131 |
| Provider Name | Kathryn Lynne Durant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194356907 PECOS PAC ID: 0840641882 Enrollment ID: I20240104000147 |
| Provider Name | Ryan Hutchinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023483583 PECOS PAC ID: 1355792318 Enrollment ID: I20240104000925 |
| Provider Name | Lee Giroux |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326684358 PECOS PAC ID: 0042661746 Enrollment ID: I20240108000118 |
| Provider Name | Peter Caldwell Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295013621 PECOS PAC ID: 9234580895 Enrollment ID: I20240108004423 |
| Provider Name | Amy Danielle Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134186000 PECOS PAC ID: 9739530320 Enrollment ID: I20240108005413 |
| Provider Name | Courtney Rosevear |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912430414 PECOS PAC ID: 9234580754 Enrollment ID: I20240109004263 |
| Provider Name | David Visiko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861857138 PECOS PAC ID: 3678924909 Enrollment ID: I20240110004320 |
| Provider Name | Viridiana Pozos Avila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023262912 PECOS PAC ID: 1557734639 Enrollment ID: I20240111004975 |
| Provider Name | Anita Rose Weller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801100904 PECOS PAC ID: 9537511639 Enrollment ID: I20240112004284 |
| Provider Name | Deanne Lou Comfort |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467607614 PECOS PAC ID: 2466804513 Enrollment ID: I20240115000617 |
| Provider Name | Rebeca Isabel Velazquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942788427 PECOS PAC ID: 6406208420 Enrollment ID: I20240116001094 |
| Provider Name | Sibela Osmanovic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851931232 PECOS PAC ID: 6002268992 Enrollment ID: I20240116003323 |
| Provider Name | Natalie Rose Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982245320 PECOS PAC ID: 5698127587 Enrollment ID: I20240116003494 |
| Provider Name | Yvonne M Clayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982944948 PECOS PAC ID: 1456703370 Enrollment ID: I20240116004474 |
| Provider Name | Jamie Marie Eastman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598903932 PECOS PAC ID: 3779935697 Enrollment ID: I20240116004653 |
| Provider Name | Rob Rusunen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912580739 PECOS PAC ID: 1759733512 Enrollment ID: I20240117001489 |
| Provider Name | Allisa Rose Stopa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073031282 PECOS PAC ID: 2365887080 Enrollment ID: I20240304001406 |
| Provider Name | Erin M Brunner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639416928 PECOS PAC ID: 1153767207 Enrollment ID: I20240311003760 |
| Provider Name | Rebekah Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700253267 PECOS PAC ID: 1052757127 Enrollment ID: I20240312000276 |
| Provider Name | Reanna Leigh Irigoyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396202958 PECOS PAC ID: 9537505318 Enrollment ID: I20240315000004 |
| Provider Name | Judy Diane Gabehart-geant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467473934 PECOS PAC ID: 4688010317 Enrollment ID: I20240315002145 |
| Provider Name | Kelsey Ann Madison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275808891 PECOS PAC ID: 4183061344 Enrollment ID: I20240322003030 |
| Provider Name | Priscilla Hefley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477956720 PECOS PAC ID: 2466890728 Enrollment ID: I20240404003641 |
| Provider Name | Rachel Eddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932592326 PECOS PAC ID: 5698114460 Enrollment ID: I20240413000165 |
| Provider Name | Alexis Kruse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730228156 PECOS PAC ID: 3971954702 Enrollment ID: I20240415001076 |
| Provider Name | Heather Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144745027 PECOS PAC ID: 3274973995 Enrollment ID: I20240429002456 |
| Provider Name | Morgan Simone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932524717 PECOS PAC ID: 3476993072 Enrollment ID: I20240430001920 |
| Provider Name | Sara Sujata Glozer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710286166 PECOS PAC ID: 8729429725 Enrollment ID: I20240508001331 |
| Provider Name | Erin Murphy Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407474570 PECOS PAC ID: 4981045630 Enrollment ID: I20240511000403 |
| Provider Name | Elizabeth Bartelli-herman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841803186 PECOS PAC ID: 4385085711 Enrollment ID: I20240515003975 |
| Provider Name | John Patrick Rafael |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922475052 PECOS PAC ID: 8820530702 Enrollment ID: I20240606002362 |
| Provider Name | Megan Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215276704 PECOS PAC ID: 5597208538 Enrollment ID: I20240619001109 |
| Provider Name | Jeremy Rick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073120994 PECOS PAC ID: 3971941493 Enrollment ID: I20240619001230 |
| Provider Name | Leah Louise Mcpherson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871189480 PECOS PAC ID: 8022551662 Enrollment ID: I20240624002809 |
| Provider Name | Kerstin Minton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538739339 PECOS PAC ID: 0840631297 Enrollment ID: I20240709004932 |
| Provider Name | Jason David Wallis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396913331 PECOS PAC ID: 0941745822 Enrollment ID: I20240716000981 |
| Provider Name | Julie Ann Larson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538699004 PECOS PAC ID: 1557807534 Enrollment ID: I20240725004700 |
| Provider Name | Tana Nicola Treffers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558032797 PECOS PAC ID: 0244777225 Enrollment ID: I20240808001183 |
| Provider Name | Andrea Sukraw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518403369 PECOS PAC ID: 1951848845 Enrollment ID: I20240809000916 |
| Provider Name | Marissa Mackey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821560889 PECOS PAC ID: 8628420528 Enrollment ID: I20240812003859 |
| Provider Name | Thomas W Zondervan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922144930 PECOS PAC ID: 6103364609 Enrollment ID: I20240815000761 |
| Provider Name | Barrett Flesh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508031188 PECOS PAC ID: 9133667314 Enrollment ID: I20240819003935 |
| Provider Name | Allison Michelle Sinclair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467650176 PECOS PAC ID: 7719427327 Enrollment ID: I20240910003507 |
| Provider Name | Rebecca Ellen Ryan Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134891997 PECOS PAC ID: 9638610694 Enrollment ID: I20240918002866 |
| Provider Name | Kent Dail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053626481 PECOS PAC ID: 9234670761 Enrollment ID: I20240924001328 |
| Provider Name | Morgan Campion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982014528 PECOS PAC ID: 3072985845 Enrollment ID: I20240925004445 |
| Provider Name | Wendy Friess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013624790 PECOS PAC ID: 4082147251 Enrollment ID: I20241025002255 |
| Provider Name | Carly Dana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881202653 PECOS PAC ID: 9739531617 Enrollment ID: I20241109000255 |
| Provider Name | Ashley Renea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265944706 PECOS PAC ID: 9133481500 Enrollment ID: I20241113003077 |
| Provider Name | Katherine Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922508258 PECOS PAC ID: 8123552973 Enrollment ID: I20241115001503 |
| Provider Name | Courtney M. Subudhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669886578 PECOS PAC ID: 2466672241 Enrollment ID: I20241118000119 |
| Provider Name | Vanessa Mhc Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093461386 PECOS PAC ID: 2163957689 Enrollment ID: I20241120004763 |
| Provider Name | Roger Boling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033238464 PECOS PAC ID: 8820524630 Enrollment ID: I20241203004197 |
| Provider Name | Dana Spade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790234078 PECOS PAC ID: 0244766426 Enrollment ID: I20241211002324 |
| Provider Name | Constance Elaine Thorsnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497812093 PECOS PAC ID: 9638605520 Enrollment ID: I20241216003657 |
| Provider Name | Amanda Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447094511 PECOS PAC ID: 5092242610 Enrollment ID: I20241220001561 |
| Provider Name | Amy Christine Shears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104299288 PECOS PAC ID: 4385995620 Enrollment ID: I20250110002215 |
| Provider Name | Natalia Lou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033789573 PECOS PAC ID: 7911437124 Enrollment ID: I20250203002946 |
| Provider Name | Katherine Macdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770211559 PECOS PAC ID: 2365972460 Enrollment ID: I20250204003428 |
| Provider Name | Rachel Ravarra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306248455 PECOS PAC ID: 6800326919 Enrollment ID: I20250204004000 |
| Provider Name | Amber Harding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578992657 PECOS PAC ID: 9537699228 Enrollment ID: I20250211001219 |
| Provider Name | Christian Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720697980 PECOS PAC ID: 6608242417 Enrollment ID: I20250212001914 |
| Provider Name | Jonathon Haley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962066621 PECOS PAC ID: 2062842420 Enrollment ID: I20250220001034 |
| Provider Name | Alyssa J Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770388241 PECOS PAC ID: 2264952829 Enrollment ID: I20250226000958 |
| Provider Name | Ashlee Lauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659950434 PECOS PAC ID: 3678094711 Enrollment ID: I20250305003829 |
| Provider Name | Kaila Starmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134903529 PECOS PAC ID: 6103347869 Enrollment ID: I20250311000331 |
| Provider Name | Whitney Blackham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609418466 PECOS PAC ID: 5496278889 Enrollment ID: I20250326002255 |
| Provider Name | Danielle Baertsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578231825 PECOS PAC ID: 9032633508 Enrollment ID: I20250404003191 |
| Provider Name | Coco Mcgraw Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114720257 PECOS PAC ID: 8628592755 Enrollment ID: I20250409003567 |
| Provider Name | Janet M Hendricks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275944803 PECOS PAC ID: 5597289447 Enrollment ID: I20250411002901 |
| Provider Name | Tammy J Baggetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265138416 PECOS PAC ID: 8123542966 Enrollment ID: I20250414001829 |
| Provider Name | Anthony Liufau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023427135 PECOS PAC ID: 6406370287 Enrollment ID: I20250414002896 |
| Provider Name | Jessica Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700226107 PECOS PAC ID: 8628299005 Enrollment ID: I20250414003155 |
| Provider Name | Anh Khoa Dieu Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407424716 PECOS PAC ID: 9133570245 Enrollment ID: I20250415000795 |
| Provider Name | Jenny Nkiruka Nwankwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972334860 PECOS PAC ID: 4688199375 Enrollment ID: I20250415002304 |
| Provider Name | Tracy Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063792984 PECOS PAC ID: 0749679108 Enrollment ID: I20250424003220 |
| Provider Name | Zheng Liang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497448385 PECOS PAC ID: 9830531334 Enrollment ID: I20250430000725 |
| Provider Name | Lindsay Robinson Hatch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508102401 PECOS PAC ID: 4385160357 Enrollment ID: I20250502001133 |
| Provider Name | Brooke Heather Burchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710568183 PECOS PAC ID: 2466970546 Enrollment ID: I20250513003374 |
| Provider Name | Dinapoles Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003159070 PECOS PAC ID: 7719364363 Enrollment ID: I20250516001415 |
| Provider Name | Kristy Regan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124779442 PECOS PAC ID: 2769901560 Enrollment ID: I20250523002625 |
| Provider Name | Jean Amour Phare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932596079 PECOS PAC ID: 6800315649 Enrollment ID: I20250527000279 |
| Provider Name | Kelsey Zeches |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508595885 PECOS PAC ID: 7315457405 Enrollment ID: I20250609000621 |
| Provider Name | Saira Khan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851708994 PECOS PAC ID: 0143730788 Enrollment ID: I20250611003301 |
| Provider Name | Priscilla Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023639283 PECOS PAC ID: 7810351566 Enrollment ID: I20250612000253 |
Youth Villages Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2659 Sw 4th St, Suite 102, Redmond, OR 97756 Phone: 541-516-6330 Fax: 541-516-6331 | |
Sana Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Sw 4th St, Redmond, OR 97756 Phone: 458-836-8410 | |
Rd Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 128 W Antler Ave, Redmond, OR 97756 Phone: 541-316-5816 | |
Ann Martin Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 Sw 8th St, Redmond, OR 97756 Phone: 541-504-8970 Fax: 541-504-5805 | |
Nick Sundstrom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2659 Sw 4th St Ste 110, Redmond, OR 97756 Phone: 541-647-7820 | |
Happy Hearts Child Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Sw Cascade Ave Ste 6, Redmond, OR 97756 Phone: 458-666-3322 | |
Red Rock Counseling And Treatment Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Sw 4th St, Redmond, OR 97756 Phone: 541-233-9392 |