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AVERY GRACE QMHP
NPI 1194268623
Counselor - Mental Health in Bend, OR

Active since December 01, 2016
1058 NE 12TH ST, BEND, OR 97701(541) 678-5320 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avery Grace Qmhp NPPES

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

AVERY GRACE QMHP (NPI 1194268623) is an individual mental health provider in Bend, Oregon, licensed in Oregon (22-QMHP-R-1292) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1194268623
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAVERY GRACECredential: QMHP
Location Address1058 NE 12TH STBend, OR 97701-4412
Mailing Address1058 Ne 12th StBend, OR 97701-4412 · (541) 678-5320
Phone(541) 678-5320
Sole ProprietorYes
Enumeration DateDecember 1, 2016
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1194268623 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
License✔ Licensed in OR · 22-QMHP-R-1292
Also ListedAcupuncturistTaxonomy 171100000X · License 17331 (CA)
1058 NE 12TH ST, Bend, OR 97701
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Other Names 1

Former Name (1)Avery Erickson L.ac., Ms

Other Providers at the Same Location NPPES 10

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

JESSICA HUTSON QMHA
Counselor
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (503) 705-4135
JOE L NELSON
Peer Specialist
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
NOEL DEAN
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
MR. JAY EDWARD HARRIS RN, MSN
Registered Nurse (Administrator)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 530-3066
KATIE KING
Counselor
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
SHELLY K RAY
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
MICHAEL THORNTON
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
VICTORIA GUTHRIE
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320

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 Avery Grace's NPI number?

The NPI number for Avery Grace is 1194268623. It was assigned to this individual provider in the NPPES registry on December 1, 2016. The provider is also known as Avery Erickson L.Ac., Ms.

Where is Avery Grace located?

Avery Grace practices at 1058 NE 12th St, Bend, OR 97701. The listed phone number is (541) 678-5320.

What is Avery Grace'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 Avery Grace was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.