KATHLEEN PHILLIPS MS
NPI 1356919872
Counselor - Mental Health in Bend, OR

Active since June 11, 2021Opted out of Medicare · through Jan 9, 2028
320 SW CENTURY DR STE 405-305, BEND, OR 97702(541) 668-5445 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2021, Sep 18, 2021, Jun 11, 2021 (3 updates tracked since 2021).

About Kathleen Phillips Ms NPPES

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

KATHLEEN PHILLIPS MS (NPI 1356919872) is an individual mental health provider in Bend, Oregon and active in the NPI registry since June 2021. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1356919872
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN PHILLIPSCredential: MS
Location Address320 SW CENTURY DR STE 405-305Bend, OR 97702-3037
Mailing Address320 Sw Century Dr Ste 405-305Bend, OR 97702-3037 · (541) 241-6313
Sole ProprietorNo
Enumeration DateJune 11, 2021
Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
NPI 1356919872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
320 SW CENTURY DR STE 405-305, Bend, OR 97702

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kathleen Phillips Ms 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 January 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
320 SW CENTURY DR STE 405-305
BEND, OR 97702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356919872, enumerated as an "individual" on June 11, 2021.

The provider is located at 320 SW CENTURY DR STE 405-305 BEND, OR 97702 and the phone number is (541) 668-5445.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.