1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Social Worker
  6. NPI Profile

LIFE BALANCE BEND LLC
NPI 1669998266
Social Worker - Clinical in Bend, OR

Active since August 16, 2017
15 SW COLORADO AVE STE 350, BEND, OR 97702(541) 306-1898 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 14, 2017 and 2 more (5 updates tracked since 2017).

About Life Balance Bend Llc NPPES

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

LIFE BALANCE BEND LLC (NPI 1669998266) is a healthcare organization registered as a clinical in Bend, Oregon and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Bend and lists Travis Sammon, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1669998266
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE BALANCE BEND LLC
Location Address15 SW COLORADO AVE STE 350Bend, OR 97702-1130
Mailing Address15 Sw Colorado Ave Ste 350Bend, OR 97702-1130 · (541) 306-1898
Phone(541) 306-1898
Organization SubpartNo
Authorized OfficialTravis SammonCo-owner · (541) 306-1898
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1669998266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OR · 4289✔ Licensed in OR · 3873
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15 SW COLORADO AVE STE 350, Bend, OR 97702
Open in Google Maps ↗

Secondary Practice Location 1

Location 1339 SW Century Dr Ste 101Bend, OR 97702-1199 · Phone (541) 382-1395 · Fax (541) 382-6576

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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Balance Bend Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Balance Bend LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jillian Sammon, LCSW
Clinical Social Worker
NPI 1316218944
15 SW COLORADO AVE SUITE 350
Bend, OR 97702
(541) 647-0514
✔ PECOS✔ Accepts MedicareSame address
Travis Sammon, MSW, LCSW
Clinical Social Worker
NPI 1033385042
2577 NE COURTNEY DR
Bend, OR 97701
(541) 322-7500
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Balance Bend LLC's NPI number?

The NPI number for Life Balance Bend LLC is 1669998266. It was assigned to this organization in the NPPES registry on August 16, 2017.

Where is Life Balance Bend LLC located?

Life Balance Bend LLC is located at 15 SW Colorado Ave Ste 350, Bend, OR 97702. The listed phone number is (541) 306-1898.

What is Life Balance Bend LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Life Balance Bend LLC enrolled in Medicare?

Yes. Life Balance Bend LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Balance Bend LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Life Balance Bend LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Balance Bend LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Life Balance Bend 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 Life Balance Bend LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.