1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Counselor
  6. NPI Profile

MISTY MICHELLE GROOM
NPI 1174891790
Counselor - Mental Health in Bend, OR

Active since December 09, 2011
2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misty Michelle Groom NPPES

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

MISTY MICHELLE GROOM (NPI 1174891790) is an individual mental health provider in Bend, Oregon and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1174891790
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISTY MICHELLE GROOM
Location Address2577 NE COURTNEY DRBend, OR 97701-7638
Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500
Phone(541) 322-7500
Sole ProprietorYes
Enumeration DateDecember 9, 2011
✔ NPI 1174891790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2577 NE COURTNEY DR, Bend, OR 97701
Open in Google Maps ↗

Other Names 1

Former Name (1)Misty Michelle Pederson

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.

JOANNE WHITE
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
MRS. MARINA ASHLEY KENT RN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7480
KATHLEEN ELIZABETH CHRISTENSEN
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
DESCHUTES COUNTY OREGON
Clinic/Center (Public Health, State or Local)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7400
TONI BERUBE
Counselor (Professional)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7678
EMMA SUSANN ANDERSON LCSW
Social Worker (Clinical)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TRENT MORRELL
Case Manager/Care Coordinator
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500
TAYLOR ELIZABETH SEXTON
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Deschutes County (541) 322-7500

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 Misty Groom's NPI number?

The NPI number for Misty Groom is 1174891790. It was assigned to this individual provider in the NPPES registry on December 9, 2011. The provider is also known as Misty Michelle Pederson.

Where is Misty Groom located?

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

What is Misty Groom'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 Misty Groom was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.