REBECCA ROSE COSTELLO CADC 1
NPI 1053986190
Counselor - Mental Health in Bend, OR

Active since May 21, 2021
2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7265 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, May 21, 2021 (2 updates tracked since 2021).

About Rebecca Rose Costello Cadc 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA ROSE COSTELLO CADC 1 (NPI 1053986190) is an individual mental health provider in Bend, Oregon and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1053986190
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA ROSE COSTELLOCredential: CADC 1
Location Address2577 NE COURTNEY DRBend, OR 97701-7752
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7265
Fax(541) 322-7265
Sole ProprietorNo
Enumeration DateMay 21, 2021
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1053986190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2577 NE COURTNEY DR, Bend, OR 97701

Other Names 1

Former Name (1)Rebecca Rose Reynolds

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Clinic/Center (Public Health, State or Local)
2577 NE COURTNEY DR
BEND, OR 97701
Counselor (Professional)
2577 NE COURTNEY DR
BEND, OR 97701
Social Worker (Clinical)
2577 NE COURTNEY DR
BEND, OR 97701
Case Manager/Care Coordinator
2577 NE COURTNEY DR
BEND, OR 97701
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Costello's NPI number?

The NPI number for Rebecca Costello is 1053986190. It was assigned to this individual provider in the NPPES registry on May 21, 2021. The provider is also known as Rebecca Rose Reynolds.

Where is Rebecca Costello located?

Rebecca Costello practices at 2577 NE Courtney Dr, Bend, OR 97701. The listed phone number is (541) 322-7500.

What is Rebecca Costello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rebecca Costello was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.