EDGAR JULIAN CABALLERO (NPI# 1376915686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376915686 |
| Entity Type | Individual |
| Full Name | EDGAR JULIAN CABALLERO |
| Credential | M.A. |
| Practice Address |
777 Nw Wall St Suite #305 Bend OR 97703-2731 |
| Practice Telephone | 5413577686 |
| Mailing Telephone | 5413577686 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
777 NW WALL ST SUITE #305 |
| City | BEND |
| State | OR |
| Zip Code | 97703-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710954565 | Jeanne M Young | Chiropractor | 777 Nw Wall St, Suite 100, Bend, OR 97701-2731 | 2006-03-01 |
| 1952559429 | Ryan Mcgladrey | Mechanotherapist | 777 Nw Wall St, Suite 304, Bend, OR 97701-2731 | 2008-09-08 |
| 1679759005 | Susan Lee Ryberg | Acupuncturist | 777 Nw Wall St, Suite 102, Bend, OR 97701-2731 | 2008-01-16 |
| 1194766337 | Robert Stanley Horowitz | Psychologist | 777 Nw Wall St, #305, Bend, OR 97701-2731 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1851851430 | Cascadia Family Therapy | Counselor | 780 Nw York Dr Ste 204, Bend, OR 97703-1055 | 2019-03-21 |
| 1689138190 | Katelin Elizabeth Hance | Counselor | 210 Nw Irving Ave, Bend, OR 97703-2049 | 2019-01-29 |
| 1619307733 | Nancy Lode | Counselor | 19394 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2013-11-26 |
| 1265737225 | Joan C Dudley | Counselor | 1640 Nw Bond St, Bend, OR 97701 | 2011-01-21 |
| 1477855393 | Charles Forward | Counselor | 20370 Poe Sholes Rd., Telecare, Bend, OR 97701 | 2010-11-29 |
| 1417259599 | Heather Jordan Cromwell | Counselor | 20370 Poe Sholes Dr., Bend, OR 97701 | 2010-11-23 |
| 1487986410 | Barbara S Stott | Counselor | 21218 Darby Ct, Bend, OR 97702-9582 | 2010-02-01 |
| 1912138900 | Dennis Lee Crowell | Counselor | 535 Nw Utica Ave, Bend, OR 97701-1131 | 2009-08-07 |
| 1477780385 | Carol Folsom Sisson | Counselor | 205 Se Davis Ave, Bend, OR 97702-1333 | 2009-06-18 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.