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AUTUMN THERAPEUTICS
NPI 1811680838
Counselor - Mental Health in Bend, OR

Active since May 26, 2023
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703(541) 697-4863(541) 229-1249 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2023, May 26, 2023 (2 updates tracked since 2023).

About Autumn Therapeutics NPPES

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

AUTUMN THERAPEUTICS (NPI 1811680838) is a healthcare organization registered as a mental health in Bend, Oregon and active in the NPI registry since May 2023. The organization lists Melinda Elaine Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1811680838
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAUTUMN THERAPEUTICS
Location Address131 NW HAWTHORNE AVE STE 103Bend, OR 97703-2957
Mailing Address131 Nw Hawthorne Ave Ste 103Bend, OR 97703-2957 · (541) 697-4863 · Fax (541) 229-1249
Phone(541) 697-4863
Fax(541) 229-1249
Organization SubpartNo
Authorized OfficialMelinda Elaine JohnsonOwner · (541) 697-4863
Enumeration DateMay 26, 2023
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1811680838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
131 NW HAWTHORNE AVE STE 103, Bend, OR 97703
Open in Google Maps ↗

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, 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)

Autumn Therapeutics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Autumn Therapeutics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melinda Johnson, LMFT
Licensed Marriage and Family Therapist
NPI 1104514496
131 NW HAWTHORNE AVENUE STE 103
Bend, OR 97703
(541) 697-4863
✔ PECOSSame address

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 Autumn Therapeutics's NPI number?

The NPI number for Autumn Therapeutics is 1811680838. It was assigned to this organization in the NPPES registry on May 26, 2023.

Where is Autumn Therapeutics located?

Autumn Therapeutics is located at 131 NW Hawthorne Ave Ste 103, Bend, OR 97703. The listed phone number is (541) 697-4863.

What is Autumn Therapeutics's specialty?

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

Is Autumn Therapeutics enrolled in Medicare?

Yes. Autumn Therapeutics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Autumn Therapeutics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Licensed Marriage and Family Therapist) reassigns their Medicare billing to Autumn Therapeutics. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Autumn Therapeutics accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Autumn Therapeutics 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 Autumn Therapeutics was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.