MELINDA BETH SOULES (NPI# 1801134879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801134879 |
| Entity Type | Individual |
| Full Name | MELINDA BETH SOULES |
| Credential | L.C.S.W. |
| Practice Address |
745 Nw Mt Washington Dr Suite 301 Bend OR 97703-1574 |
| Mailing Address |
2197 Nw Clearwater Dr Bend OR 97703-7003 |
| Practice Telephone | 5414085609 |
| Mailing Telephone | 5414085609 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L5631 | OR | Behavioral Health & Social Service Providers |
| Street Address |
745 NW MT WASHINGTON DR SUITE 301 |
| City | BEND |
| State | OR |
| Zip Code | 97703-1574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124158456 | Julie A Dotson | Counselor | 745 Nw Mt Washington Dr, Suite 304, Bend, OR 97701-1574 | 2007-03-06 |
| 1871958777 | Rode Physical Therapy | Physical Therapist | 745 Nw Mt Washington Dr, Suite 108, Bend, OR 97703-1574 | 2015-12-18 |
| 1134511033 | Karla Hayes | Counselor | 745 Nw Mt Washington Dr, Sutie 304, Bend, OR 97701-1574 | 2015-03-02 |
| 1104269364 | Sherry Tran | Massage Therapist | 745 Nw Mt Washington Dr, Suite 307, Bend, OR 97701-1574 | 2013-04-08 |
| 1013202290 | Ryan F Reese | Counselor | 745 Nw Mt Washington Dr, Suite 306, Bend, OR 97701-1574 | 2011-06-15 |
| 1043441389 | Irving Keith Orton | Psychologist | 745 Nw Mt Washington Dr, Suite 303, Bend, OR 97701-1574 | 2009-08-04 |
| 1710161484 | Alyssa Campbell Reveles | Counselor | 745 Nw Mt Washington Dr, Suite 302, Bend, OR 97701-1574 | 2007-12-18 |
| 1659579589 | Thomas S Cooke | Counselor | 745 Nw Mt Washington Dr, Suite 360, Bend, OR 97701-1574 | 2007-07-03 |
| 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 | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1780295287 | Elizabeth Blackwood | Social Worker | 1005 Sw Disk Dr Ste 104, Bend, OR 97702-3385 | 2020-08-10 |
| 1396355889 | Xela Goodman | Social Worker | 2225 Ne Indigo Ln, Bend, OR 97701-6731 | 2020-08-09 |
| 1457975872 | Noonday Counseling and Wellness | Social Worker | 750 Charbonneau Ste 207, Bend, OR 97703-7047 | 2020-06-01 |
| 1083254676 | Nourish Lactation | Social Worker | 19334 Mohawk Rd, Bend, OR 97702-8908 | 2020-01-10 |
| 1982245734 | Hannah Wadsworth | Social Worker | 1900 Ne Division St Ste 108, Bend, OR 97701-3526 | 2019-10-02 |
| 1710528989 | Connie J Kersenbrock, Lcsw | Social Worker | 300 Se Reed Market Rd Ste 110, Bend, OR 97702-2237 | 2019-09-30 |
| 1265085625 | Rachel L Frank LLC | Social Worker | 20766 Ne Sierra Dr, Bend, OR 97701-7174 | 2019-07-24 |
| 1366008856 | Sarah Elizabeth Peterson | Social Worker | 19795 Village Office Ct, Bend, OR 97702-1922 | 2019-05-10 |
| 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.