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DR. LIESL MIMI FARNSWORTH PHD
NPI 1750608543
Counselor - Mental Health in Bend, OR

Active since May 03, 2010Opted out of Medicare · through Jan 1, 2028
552 NW SAGINAW AVE # 2, BEND, OR 97703(541) 388-1261(541) 306-4577 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, May 7, 2021 (2 updates tracked since 2021).

About Dr. Liesl Mimi Farnsworth Phd NPPES

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

DR. LIESL MIMI FARNSWORTH PHD (NPI 1750608543) is an individual mental health provider in Bend, Oregon, licensed in Oregon (C2915) and active in the NPI registry since May 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1750608543
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. LIESL MIMI FARNSWORTHCredential: PHD
Location Address552 NW SAGINAW AVE # 2Bend, OR 97703-1120
Mailing Address552 Nw Saginaw Ave # 2Bend, OR 97703-1120 · (541) 388-1261 · Fax (541) 668-8000
Phone(541) 388-1261
Fax(541) 306-4577
Sole ProprietorYes
Enumeration DateMay 3, 2010
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1750608543 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 · C2915

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Dr. Liesl Mimi Farnsworth Phd 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

LIESL FARNSWORTH, PHD, LPC
Counselor (Mental Health)
552 NW SAGINAW AVE # 2
BEND, OR 97703
Deschutes County (541) 388-1261

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 Liesl Farnsworth's NPI number?

The NPI number for Liesl Farnsworth is 1750608543. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Liesl Farnsworth located?

Liesl Farnsworth practices at 552 NW Saginaw Ave # 2, Bend, OR 97703. The listed phone number is (541) 388-1261.

What is Liesl Farnsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Liesl Farnsworth enrolled in Medicare?

No. Liesl Farnsworth has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Liesl Farnsworth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Liesl Farnsworth 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 Liesl Farnsworth was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.