ZACKARY HOYT MADISON (NPI# 1750824306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750824306 |
| Entity Type | Individual |
| Full Name | ZACKARY HOYT MADISON |
| Practice Address |
1340 Nw Wall St Bend OR 97703-1985 |
| Mailing Address |
2577 Ne Courtney Dr Bend OR 97701-7638 |
| Practice Telephone | 5413227500 |
| Practice Fax Number | 5413227565 |
| Mailing Telephone | 5413227500 |
| Mailing Fax Number | 5413227565 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1340 NW WALL ST |
| City | BEND |
| State | OR |
| Zip Code | 97703-1985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003949140 | Heather Kristine Welker | Occupational Therapist | 1340 Nw Wall St, Bend, OR 97703 | 2007-03-14 |
| 1588275366 | Lisa Brown | Case Manager/Care Coordinator | 1340 Nw Wall St, Bend, OR 97703-1985 | 2020-08-13 |
| 1124685268 | Melissa Joi Lopez | Peer Specialist | 1340 Nw Wall St, Bend, OR 97703-1985 | 2019-05-23 |
| 1720549033 | James Robert Estabrook | Counselor | 1340 Nw Wall St, Bend, OR 97703-1985 | 2019-03-28 |
| 1649777111 | Rachele Gallinat | Counselor | 1340 Nw Wall St, Bend, OR 97703-1985 | 2018-04-10 |
| 1588188643 | Desiree Dixon | Counselor | 1340 Nw Wall St, Bend, OR 97703-1985 | 2017-07-31 |
| 1679011274 | Dustin Alexander Fanning-painter | Case Manager/Care Coordinator | 1340 Nw Wall St, Bend, OR 97703-1985 | 2017-02-03 |
| 1437601358 | Katelyn Place | Peer Specialist | 1340 Nw Wall St, Bend, OR 97703-1985 | 2016-10-26 |
| 1689125353 | Deborah Chase | Registered Nurse | 1340 Nw Wall St, Suite 150, Bend, OR 97703-1985 | 2016-10-18 |
| 1518415868 | Katherine Ann Berry | Counselor | 1340 Nw Wall St, Bend, OR 97703-1985 | 2016-09-15 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on ZACKARY HOYT MADISON.
| 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.