JARED UTTERBACK
NPI 1265099550
Marriage & Family Therapist in Bend, OR

Q: What is Jared Utterback's NPI number?

The NPI number for Jared Utterback is 1265099550. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Q: What is Jared Utterback's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Utterback was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment

695 SW MILL VIEW WAY STE 207, BEND, OR 97702(458) 202-9632 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2023, Nov 15, 2021, May 22, 2019 (3 updates tracked since 2019).

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About Jared Utterback NPPES

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

JARED UTTERBACK (NPI 1265099550) is an individual marriage & family therapist in Bend, Oregon, licensed in Oregon (T1907) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265099550

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJARED UTTERBACK

Location Address695 SW MILL VIEW WAY STE 207Bend, OR 97702-1557

Mailing Address61181 Lodgepole DrBend, OR 97702-2880 · (458) 202-9632

Phone(458) 202-9632

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 22, 2019

Last NPPES UpdateApril 3, 20233 updates tracked since enumeration

NPPES CertifiedApril 3, 2023

✔ NPI 1265099550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in OR · T1907✔ Licensed in OR · R5529

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

695 SW MILL VIEW WAY STE 207, Bend, OR 97702

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Other Identifiers 1

Medicaid500767552OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Utterback is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385096650

PECOS Enrollment IDI20240123001164

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jared Utterback's NPI number?

The NPI number for Jared Utterback is 1265099550. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Jared Utterback located?

Jared Utterback practices at 695 SW Mill View Way Ste 207, Bend, OR 97702. The listed phone number is (458) 202-9632.

What is Jared Utterback's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jared Utterback enrolled in Medicare?

Yes. Jared Utterback is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jared Utterback accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jared Utterback 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 Jared Utterback was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.