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KEITH MICHAEL INGULLI
NPI 1487897518
Counselor - Mental Health in Bend, OR

Active since April 20, 2009
2065 NE TUCSON WAY APT 110, BEND, OR 97701(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Michael Ingulli NPPES

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

KEITH MICHAEL INGULLI (NPI 1487897518) is an individual mental health provider in Bend, Oregon and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1487897518
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH MICHAEL INGULLI
Location Address2065 NE TUCSON WAY APT 110Bend, OR 97701-5182
Mailing Address600 Sw Columbia St Ste 6250Bend, OR 97702-1099 · (541) 383-3005 · Fax (541) 383-1883
Phone(541) 383-3005
Fax(541) 383-1883
Sole ProprietorNo
Enumeration DateApril 20, 2009
Last NPPES UpdateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1487897518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2065 NE TUCSON WAY APT 110, Bend, OR 97701
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Other Providers at the Same Location NPPES 20

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

CHRISTOPHER R RUSSELL PA-C
Physician Assistant
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005
SIENA MARIE FALZON QMHA
Counselor (Mental Health)
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005
KENDALL M JOHNSON
Community Health Worker
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005
JULIA A DUNCAN NP-PP
Nurse Practitioner (Psychiatric/Mental Health)
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005
MS. TRISTAN LYNN MAYO R.N.
Counselor (Mental Health)
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005
MR. MARK T PRESS FNP
Nurse Practitioner (Family)
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005
MOSAIC COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 408-9486
STEPHEN KLIPPENSTEIN DO
Family Medicine
2065 NE TUCSON WAY APT 110
BEND, OR 97701
Deschutes County (541) 383-3005

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 Keith Ingulli's NPI number?

The NPI number for Keith Ingulli is 1487897518. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Keith Ingulli located?

Keith Ingulli practices at 2065 NE Tucson Way Apt 110, Bend, OR 97701. The listed phone number is (541) 383-3005.

What is Keith Ingulli'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 Keith Ingulli was last updated on March 2, 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.