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LEA CISERO BLUMBERG QMHP
NPI 1699355255
Counselor - Mental Health in Bend, OR

Active since April 08, 2021
908 NE 4TH ST STE 101, BEND, OR 97701(541) 617-7365 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lea Cisero Blumberg Qmhp NPPES

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

LEA CISERO BLUMBERG QMHP (NPI 1699355255) is an individual mental health provider in Bend, Oregon, licensed in Oregon (21-QMHP-R-0608) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1699355255
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLEA CISERO BLUMBERGCredential: QMHP
Location Address908 NE 4TH ST STE 101Bend, OR 97701-4646
Mailing AddressPo Box 1710Redmond, OR 97756-0516 · (541) 516-4087
Phone(541) 617-7365
Sole ProprietorNo
Enumeration DateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1699355255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 21-QMHP-R-0608
908 NE 4TH ST STE 101, Bend, OR 97701
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

VALERIE BRODBECK QMHP
Counselor (Mental Health)
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 617-7365
MR. ANTHONY BARBER CRM
Peer Specialist
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 233-6699
JOHN LONG CADC
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 617-7365
MR. BRENNAN MYERLE WASHBURN CADC-R, CRM, PSS
Peer Specialist
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 280-4139
RENEE DAWN TENDERELLA
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 617-7365
SARAH WIGGERS CADC
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 617-7365
DOREEN FULK CADC-R, QMHP-R
Counselor
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 617-7365
NICKOLAS PETRAGALLO CRM/PSS
Peer Specialist
908 NE 4TH ST STE 101
BEND, OR 97701
Deschutes County (541) 617-7365

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 Lea Cisero Blumberg's NPI number?

The NPI number for Lea Cisero Blumberg is 1699355255. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Lea Cisero Blumberg located?

Lea Cisero Blumberg practices at 908 NE 4th St Ste 101, Bend, OR 97701. The listed phone number is (541) 617-7365.

What is Lea Cisero Blumberg'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 Lea Cisero Blumberg was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.