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SUSAN KOLB MS, LPC
NPI 1396829602
Counselor - Professional in Bend, OR

Active since October 24, 2006Opted out of Medicare · through Jan 1, 2028
497 SW CENTURY DR STE 102, BEND, OR 97702(541) 550-8008(541) 797-6898 Get Directions Write a Review

NPPES record last updated: March 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Kolb Ms, Lpc NPPES

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

SUSAN KOLB MS, LPC (NPI 1396829602) is an individual professional provider in Bend, Oregon, licensed in Oregon (C1831) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1396829602
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN KOLBCredential: MS, LPC
Location Address497 SW CENTURY DR STE 102Bend, OR 97702-1167
Mailing Address1468 Nw Elgin AveBend, OR 97703-3032 · (541) 550-8008 · Fax (541) 797-6898
Phone(541) 550-8008
Fax(541) 797-6898
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 21, 2020
NPPES CertifiedMarch 21, 2020
✔ NPI 1396829602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C1831
497 SW CENTURY DR STE 102, Bend, OR 97702
Open in Google Maps ↗

Other Identifiers 1

Other11627604OR · Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Kolb Ms, Lpc 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

KRISTI HOLMBERG
Social Worker (Clinical)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (458) 292-9972
SUSAN KOLB, INC
Counselor (Mental Health)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 550-8008
RIVERBEND FAMILY COUNSELING
Marriage & Family Therapist
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 896-1098
MRS. JANET G. MCKEE MS, LPC, NCC
Counselor (Mental Health)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 383-0803
SARA VICE DOWNING PSY.D.
Psychologist
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 668-6889
TERRI LYNN MERRITT LMFT
Marriage & Family Therapist
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 896-1098
TRACY LYNN PAUL
Counselor (Mental Health)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 419-4518
ROBIN KAY VICKERY LCSW
Social Worker (Clinical)
497 SW CENTURY DR STE 102
BEND, OR 97702
Deschutes County (541) 640-2101

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 Susan Kolb's NPI number?

The NPI number for Susan Kolb is 1396829602. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Susan Kolb located?

Susan Kolb practices at 497 SW Century Dr Ste 102, Bend, OR 97702. The listed phone number is (541) 550-8008.

What is Susan Kolb's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Susan Kolb enrolled in Medicare?

No. Susan Kolb has opted out of Medicare through January 1, 2028. 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 Susan Kolb was last updated on March 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.