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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILD EDGE COUNSELING LLC
NPI 1639075823
Counselor - Professional in Bend, OR

Active since October 15, 2026
354 NE GREENWOOD AVE STE 202, BEND, OR 97701(503) 688-3988 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wild Edge Counseling Llc NPPES

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

WILD EDGE COUNSELING LLC (NPI 1639075823) is a healthcare organization registered as a professional in Bend, Oregon and active in the NPI registry since October 2026. The organization lists Madison Cameron, Owner, as its authorized official.

NPPES Registry Identity

NPI1639075823
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWILD EDGE COUNSELING LLC
Location Address354 NE GREENWOOD AVE STE 202Bend, OR 97701-4632
Mailing Address60958 Snowbrush DrBend, OR 97702-3152 · (503) 688-3988
Phone(503) 688-3988
Organization SubpartNo
Authorized OfficialMadison CameronOwner · (503) 688-3988
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1639075823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
354 NE GREENWOOD AVE STE 202, Bend, OR 97701
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Other Providers at the Same Location NPPES 4

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

WHOLE BODY ROBBIE LLC
Clinic/Center (Health Service)
354 NE GREENWOOD AVE STE 202
BEND, OR 97701
Deschutes County (541) 350-9251
MRS. ROBBIE DEE LUTZ LMT.
Massage Therapist
354 NE GREENWOOD AVE STE 202
BEND, OR 97701
Deschutes County (541) 350-9251
STEPHANIE WILLIAMS MSW,LCSW
Social Worker (Clinical)
354 NE GREENWOOD AVE STE 202
BEND, OR 97701
Deschutes County (503) 899-3793
LISA ANN DEAN QMHA/WELLNESS COACH
Health and Wellness Coach
354 NE GREENWOOD AVE STE 202
BEND, OR 97701
Deschutes County (541) 668-7558

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 Wild Edge Counseling LLC's NPI number?

The NPI number for Wild Edge Counseling LLC is 1639075823. It was assigned to this organization in the NPPES registry on October 15, 2026.

Where is Wild Edge Counseling LLC located?

Wild Edge Counseling LLC is located at 354 NE Greenwood Ave Ste 202, Bend, OR 97701. The listed phone number is (503) 688-3988.

What is Wild Edge Counseling LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wild Edge Counseling LLC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.