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WILLAIM THOMAS FAGAN LPC
NPI 1588905319
Counselor - Professional in Bend, OR

Active since March 04, 2013Opted out of Medicare · through Oct 31, 2026
1569 SW NANCY WAY, BEND, OR 97702(541) 617-0377(541) 617-0377 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2019, May 27, 2019 (2 updates tracked since 2019).

About Willaim Thomas Fagan Lpc NPPES

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

WILLAIM THOMAS FAGAN LPC (NPI 1588905319) is an individual professional provider in Bend, Oregon, licensed in Oregon (C4302) and active in the NPI registry since March 2013. He has opted out of Medicare through October 31, 2026 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588905319
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILLAIM THOMAS FAGANCredential: LPC
Location Address1569 SW NANCY WAYBend, OR 97702-3234
Mailing Address3616 Sw Reindeer AveRedmond, OR 97756-7953 · (541) 508-9593
Phone(541) 617-0377
Fax(541) 617-0377
Sole ProprietorNo
Enumeration DateMarch 4, 2013
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
✔ NPI 1588905319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C4302
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License R2719 (OR)
1569 SW NANCY WAY, Bend, OR 97702
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1676 NE Negus WayRedmond, OR 97756-8527 · Phone (541) 516-4087 · Fax (541) 504-1195
Location 2339 SW Century Dr Ste 201Bend, OR 97702-1338 · Phone (541) 508-9593

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

Willaim Thomas Fagan 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 October 31, 2024 through October 31, 2026.

Opt-Out Effective DateOctober 31, 2024
Opt-Out In Effect ThroughOctober 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

DUSTIN URBAN
Counselor (Mental Health)
1569 SW NANCY WAY, SUITE 1
BEND, OR 97702
Deschutes County (541) 617-0377
EMILY PETERSEN
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Deschutes County (541) 617-0377
JOHANNA MICHELLE HERSHENSON QMHP
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Deschutes County (541) 617-0377
D'NICOLE LAMETTI MENEGHINI
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Deschutes County (541) 617-0377
DR. NICHOLAS W. MISISCHIA DMD
Dentist (Periodontics)
1569 SW NANCY WAY, LOWER LEVEL
BEND, OR 97702
Deschutes County (541) 317-0255
ROBERT SCHERMAN
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Deschutes County (541) 617-0377
HANNAH BASTIAN
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Deschutes County (541) 617-0377
JAMES SCHUTT
Counselor (Mental Health)
1569 SW NANCY WAY
BEND, OR 97702
Deschutes County (541) 617-0377

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 Willaim Fagan's NPI number?

The NPI number for Willaim Fagan is 1588905319. It was assigned to this individual provider in the NPPES registry on March 4, 2013.

Where is Willaim Fagan located?

Willaim Fagan practices at 1569 SW Nancy Way, Bend, OR 97702. The listed phone number is (541) 617-0377.

What is Willaim Fagan's specialty?

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

Is Willaim Fagan enrolled in Medicare?

No. Willaim Fagan has opted out of Medicare through October 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Willaim Fagan accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Willaim Fagan 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 Willaim Fagan was last updated on August 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.