JOHANNA MICHELLE HERSHENSON QMHP
NPI 1174088934
Counselor - Mental Health in Bend, OR

Active since February 06, 2019Opted out of Medicare · through Feb 13, 2027
1569 SW NANCY WAY, BEND, OR 97702(541) 617-0377 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johanna Michelle Hershenson Qmhp NPPES

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

JOHANNA MICHELLE HERSHENSON QMHP (NPI 1174088934) is an individual mental health provider in Bend, Oregon and active in the NPI registry since February 2019. She has opted out of Medicare through February 13, 2027.

NPPES Registry Identity

NPI1174088934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJOHANNA MICHELLE HERSHENSONCredential: QMHP
Location Address1569 SW NANCY WAYBend, OR 97702-3234
Mailing Address4880 Se Cc Dunham RdPrineville, OR 97754-9577 · (541) 213-9880
Sole ProprietorYes
Enumeration DateFebruary 6, 2019
NPI 1174088934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1569 SW NANCY WAY, Bend, OR 97702

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Johanna Michelle Hershenson Qmhp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2025 through February 13, 2027.

Opt-Out Effective DateFebruary 13, 2025
Opt-Out In Effect ThroughFebruary 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

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)
1569 SW NANCY WAY, SUITE 1
BEND, OR 97702
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Dentist (Periodontics)
1569 SW NANCY WAY, LOWER LEVEL
BEND, OR 97702
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Counselor (Mental Health)
1569 SW NANCY WAY, SUITE 1
BEND, OR 97702

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 Johanna Hershenson's NPI number?

The NPI number for Johanna Hershenson is 1174088934. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Johanna Hershenson located?

Johanna Hershenson practices at 1569 SW Nancy Way, Bend, OR 97702. The listed phone number is (541) 617-0377.

What is Johanna Hershenson's specialty?

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

Is Johanna Hershenson enrolled in Medicare?

No. Johanna Hershenson has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Johanna Hershenson was last updated on February 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.