BEND MENTAL WELLNESS LLC
NPI 1407446743
Counselor - Professional in Bend, OR

Active since January 20, 2021
19855 4TH ST STE 106, BEND, OR 97703(541) 357-7686 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2023, Jan 20, 2021 (2 updates tracked since 2021).

About Bend Mental Wellness Llc NPPES

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

BEND MENTAL WELLNESS LLC (NPI 1407446743) is a healthcare organization registered as a professional in Bend, Oregon and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Bend and lists Edgar Julian Caballero, Owner, as its authorized official.

NPPES Registry Identity

NPI1407446743
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBEND MENTAL WELLNESS LLC
Location Address19855 4TH ST STE 106Bend, OR 97703-7814
Mailing Address64682 Cook Ave # 1Bend, OR 97703-9033 · (541) 357-7686
Organization SubpartNo
Authorized OfficialEdgar Julian CaballeroOwner · (541) 357-7686
Enumeration DateJanuary 20, 2021
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1407446743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
19855 4TH ST STE 106, Bend, OR 97703

Secondary Practice Location 1

Location 11345 NW Wall St Ste 303Bend, OR 97703-1970 · Phone (541) 357-7686

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
19855 4TH ST STE 106
BEND, OR 97703
Counselor
19855 4TH ST STE 106
BEND, OR 97703
Social Worker (Clinical)
19855 4TH ST STE 106
BEND, OR 97703
Psychologist (Clinical)
19855 4TH ST STE 106
BEND, OR 97703
Counselor (Professional)
19855 4TH ST STE 106
BEND, OR 97703
Counselor (Professional)
19855 4TH ST STE 106
BEND, OR 97703
Social Worker (Clinical)
19855 4TH ST STE 106
BEND, OR 97703

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 Bend Mental Wellness LLC's NPI number?

The NPI number for Bend Mental Wellness LLC is 1407446743. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Bend Mental Wellness LLC located?

Bend Mental Wellness LLC is located at 19855 4th St Ste 106, Bend, OR 97703. The listed phone number is (541) 357-7686.

What is Bend Mental Wellness LLC's specialty?

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

What insurance does Bend Mental Wellness LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Bend Mental Wellness LLC 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 Bend Mental Wellness LLC was last updated on May 9, 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.