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

KIMBERLY ANN MEDLOCK
NPI 1750090130
Counselor in Bend, OR

Active since November 15, 2022
2480 NE TWIN KNOLLS DR, BEND, OR 97701(541) 848-1801 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Ann Medlock NPPES

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

KIMBERLY ANN MEDLOCK (NPI 1750090130) is an individual counselor in Bend, Oregon and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1750090130
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY ANN MEDLOCK
Location Address2480 NE TWIN KNOLLS DRBend, OR 97701-6833
Mailing Address16187 Dawn RdLa Pine, OR 97739-8842 · (541) 848-1801
Phone(541) 848-1801
Sole ProprietorYes
Enumeration DateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1750090130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2480 NE TWIN KNOLLS DR, Bend, OR 97701
Open in Google Maps ↗

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.

KENDALL WALLACE
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
ALEXIS SMITH
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
TERRI J BEACHLER
Counselor (Mental Health)
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (458) 292-8122
CASSONDRA WHITING
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 323-7554
HENRY SCHULER
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
TAYLOR POKORNEY
Counselor
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 905-7137
ASHLEY RYAN WOLF
Counselor (Mental Health)
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900
BETHANY M TATUM
Marriage & Family Therapist
2480 NE TWIN KNOLLS DR
BEND, OR 97701
Deschutes County (541) 758-5900

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 Kimberly Medlock's NPI number?

The NPI number for Kimberly Medlock is 1750090130. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Kimberly Medlock located?

Kimberly Medlock practices at 2480 NE Twin Knolls Dr, Bend, OR 97701. The listed phone number is (541) 848-1801.

What is Kimberly Medlock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Medlock was last updated on November 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.