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LUTHERAN COMMUNITY SERVICES NW - BEND
NPI 1093074882
Counselor - Mental Health in Bend, OR

Active since May 14, 2012CLIA 38D2052869 · Waiver
2330 NE DIVISION ST STE 9B, BEND, OR 97703(541) 323-5333(541) 323-5854 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2019, Sep 28, 2016 (2 updates tracked since 2016).

About Lutheran Community Services Nw - Bend NPPES

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

LUTHERAN COMMUNITY SERVICES NW - BEND (NPI 1093074882) is a healthcare organization registered as a mental health in Bend, Oregon and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Daniel Johnston, Contract And Grant Administrator, as its authorized official.

NPPES Registry Identity

NPI1093074882
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLUTHERAN COMMUNITY SERVICES NW
Location Address2330 NE DIVISION ST STE 9BBend, OR 97703-3530
Mailing Address2545 N Eldorado AveKlamath Falls, OR 97601-6423 · (541) 883-3471 · Fax (541) 883-3524
Phone(541) 323-5333
Fax(541) 323-5854
Organization SubpartYes
Authorized OfficialDaniel JohnstonContract And Grant Administrator · (206) 816-3223
Enumeration DateMay 14, 2012
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
✔ NPI 1093074882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X
2330 NE DIVISION ST STE 9B, Bend, OR 97703
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Other Names 1

Other NameLutheran Community Services Nw - Bend

Other Identifiers 3

Other1093074882OR · Npi Number
Medicaid500674445OR
Medicaid283234OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2052869

Lutheran Community Services Northwest · Klamath Falls, OR
Active · expires Jan 21, 2027
CLIA Number38D2052869
Laboratory TypeAd & Mh Treatmnt Ag
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorBob Pickel
Laboratory Phone(541) 883-3471
Laboratory LocationLutheran Community Services Northwest2545 N Eldorado, Klamath Falls, OR 97603
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MISS NOELLE BRUNO MSW
Social Worker
2330 NE DIVISION ST STE 9B
BEND, OR 97703
Deschutes County (458) 292-6901
LACEY L. SAWYER LCSW, CADCIII, LADC
Social Worker (Clinical)
2330 NE DIVISION ST STE 9B
BEND, OR 97703
Deschutes County (541) 233-8012
CONNIE J KERSENBROCK LCSW
Social Worker (Clinical)
2330 NE DIVISION ST STE 9B
BEND, OR 97703
Deschutes County (541) 323-5332

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 Lutheran Community Services NW's NPI number?

The NPI number for Lutheran Community Services NW is 1093074882. It was assigned to this organization in the NPPES registry on May 14, 2012. The provider is also known as Lutheran Community Services NW - Bend.

Where is Lutheran Community Services NW located?

Lutheran Community Services NW is located at 2330 NE Division St Ste 9B, Bend, OR 97703. The listed phone number is (541) 323-5333.

What is Lutheran Community Services NW's specialty?

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

Does Lutheran Community Services NW hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2052869) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lutheran Community Services NW accept?

Health plans from PacificSource Health Plans list Lutheran Community Services NW as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lutheran Community Services NW was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.