PRINEVILLE COUNSELING CENTER LLC (NPI# 1528670908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528670908 |
| Entity Type | Organization |
| Organization Name | PRINEVILLE COUNSELING CENTER LLC |
| Practice Address |
190 Nw 4th St Prineville OR 97754-1820 |
| Practice Telephone | 5414163697 |
| Practice Fax Number | 5414163707 |
| Mailing Telephone | 5414163697 |
| Mailing Fax Number | 5414163707 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | DONNA HAMLIN (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 5414163697 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500696762 | 05 |
| Other Name | Type Code |
|---|---|
| Prineville Counseling Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PRINEVILLE COUNSELING CENTER LLC | 190 Nw 4th St, Prineville, OR 97754 |
| Street Address |
190 NW 4TH ST |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245571777 | Chrystal Kay Johnson | Counselor | 190 Nw 4th St, Prineville, OR 97754-1820 | 2013-03-07 |
| 1912547696 | Therapy Talks, LLC | Clinic/Center | 190 Nw 4th St, Prineville, OR 97754-1820 | 2020-01-10 |
| 1639716434 | Cheryl Nix Lcsw LLC | Social Worker | 190 Nw 4th St, Prineville, OR 97754-1820 | 2019-11-29 |
| 1861037608 | Cheryl A Nix | Social Worker | 190 Nw 4th St, Prineville, OR 97754-1820 | 2019-11-15 |
| 1790329274 | Alia Helen Fern | Counselor | 190 Nw 4th St, Prineville, OR 97754-1820 | 2019-10-29 |
| 1730602194 | Imagine Freedom, LLC | Counselor | 190 Nw 4th St, Prineville, OR 97754-1820 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463565 | Stepheni Lester | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-09-23 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1962762518 | Donna R Hamlin | Counselor | 172 Nw 4th St, Prineville, OR 97754-1820 | 2012-05-16 |
| 1396807574 | Sten Ivan Swanston | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2006-12-14 |
| 1023001435 | Linda Joyce Cook | Counselor | 13433 Se Southwood Dr, Prineville, OR 97754 | 2005-08-31 |
| 1508463951 | Lindsey Stewart | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-10-07 |
| 1841803186 | Elizabeth Bartelli-herman | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-08-26 |
| 1568089423 | Mandee Ray Awmiller | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-06-26 |
| 1538784053 | Leah Nieradka | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-06-10 |
| Find all providers in PRINEVILLE | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
Please comment or provide details below to improve the information on PRINEVILLE COUNSELING CENTER LLC.
| 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.