CHARLES WILLIAM HEMINGWAY (NPI# 1447812110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447812110 |
| Entity Type | Individual |
| Full Name | CHARLES WILLIAM HEMINGWAY |
| Credential | NCC, MAC, CADC III |
| Practice Address |
59939 Minnetonka Cir Bend OR 97702-9196 |
| Mailing Address |
1854 Ne Division St Bend OR 97701-3502 |
| Practice Telephone | 5413181897 |
| Mailing Telephone | 5413882096 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
09-12-70 | OR | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE CERTIFIED AOD COUNSELOR | 09-12-70 | 01 |
| Street Address |
59939 MINNETONKA CIR |
| City | BEND |
| State | OR |
| Zip Code | 97702-9196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021970 | Bend Care Connection | Counselor | 300 Se Reed Market Rd Ste 235, Bend, OR 97702-2237 | 2018-11-02 |
| 1134606551 | John Long | Counselor | 908 Ne 4th St Ste 101, Bend, OR 97701-4646 | 2018-07-27 |
| 1114439007 | William Van Wyk | Counselor | 210 Nw Irving Ave Ste 101, Bend, OR 97703-2050 | 2017-10-31 |
| 1548620057 | Thomas Turner | Counselor | 601 Nw Harmon Blvd, Bend, OR 97703-3060 | 2016-02-25 |
| 1124418629 | Sharole Beisenherz | Counselor | 20138 Cirrus Ct, Bend, OR 97702-2331 | 2015-02-04 |
| 1962819862 | Lesley Harrington | Counselor | 1045 Nw Bond St, Suite 211, Bend, OR 97701-2043 | 2014-07-13 |
| 1386064764 | Sean Stradley | Counselor | 593 Nw York Dr, Bend, OR 97703-7264 | 2014-04-23 |
| 1467870048 | Elise Louise Davenport | Counselor | 600 Sw Columbia St, Suite 6210, Bend, OR 97702-1099 | 2014-04-01 |
| 1205264751 | Turning Points Recovery Services | Counselor | 131 Nw Hawthorne Ave Ste 207, Bend, OR 97701-2958 | 2013-10-19 |
| 1376880120 | Megan Rae Weaver | Counselor | 63311 Jamison St, Bend, OR 97703-8288 | 2013-01-14 |
| 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.