ROBIN K VICKERY LCSW LLC
NPI 1942824131
Counselor - Mental Health in Bend, OR

Active since June 03, 2020
497 SW CENTURY DR STE 102, BEND, OR 97702(541) 640-2101(541) 797-6898 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robin K Vickery Lcsw Llc NPPES

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

ROBIN K VICKERY LCSW LLC (NPI 1942824131) is a healthcare organization registered as a mental health in Bend, Oregon and active in the NPI registry since June 2020. The organization lists Robin K Vickery, Owner, as its authorized official.

NPPES Registry Identity

NPI1942824131
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameROBIN K VICKERY LCSW LLC
Location Address497 SW CENTURY DR STE 102Bend, OR 97702-1167
Mailing Address497 Sw Century Dr Ste 102Bend, OR 97702-1167 · (541) 640-2101 · Fax (541) 797-6898
Fax(541) 797-6898
Organization SubpartNo
Authorized OfficialRobin K VickeryOwner · (541) 389-6427
Enumeration DateJune 3, 2020
NPPES CertifiedJune 3, 2020
✔ NPI 1942824131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
497 SW CENTURY DR STE 102, Bend, OR 97702

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robin K Vickery Lcsw Llc 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 Robin K Vickery Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1861684789
497 SW CENTURY DR STE 102
Bend, OR 97702
(541) 640-2101
✔ PECOS✔ Accepts MedicareSame 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 Robin K Vickery Lcsw LLC's NPI number?

The NPI number for Robin K Vickery Lcsw LLC is 1942824131. It was assigned to this organization in the NPPES registry on June 3, 2020.

Where is Robin K Vickery Lcsw LLC located?

Robin K Vickery Lcsw LLC is located at 497 SW Century Dr Ste 102, Bend, OR 97702. The listed phone number is (541) 640-2101.

What is Robin K Vickery Lcsw LLC's specialty?

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

Is Robin K Vickery Lcsw LLC enrolled in Medicare?

Yes. Robin K Vickery Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robin K Vickery Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Robin K Vickery Lcsw 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robin K Vickery Lcsw LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Robin K Vickery Lcsw 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 Robin K Vickery Lcsw LLC was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.