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TELECARE 12TH STREET HOUSE
NPI 1972814028
Community Based Residential Treatment Facility, Mental Illness in Bend, OR

Active since June 23, 2010
1058 NE 12TH ST, BEND, OR 97701(510) 337-7950(510) 337-7969 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Telecare 12th Street House NPPES

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

TELECARE 12TH STREET HOUSE (NPI 1972814028) is a healthcare organization registered as a community based residential treatment facility, mental illness in Bend, Oregon and active in the NPI registry since June 2010. The organization lists Lorena Lopez, Provider Relations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1972814028
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Location Address1058 NE 12TH STBend, OR 97701-4412
Mailing Address1080 Marina Village PkwyAlameda, CA 94501-6427 · (510) 337-7950 · Fax (510) 337-7969
Phone(510) 337-7950
Fax(510) 337-7969
Organization SubpartNo
Authorized OfficialLorena LopezProvider Relations Supervisor · (510) 337-7950
Enumeration DateJune 23, 2010
Last NPPES UpdateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1972814028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1058 NE 12TH ST, Bend, OR 97701
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Other Names 1

Doing Business AsTelecare 12th Street House

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.

JESSICA HUTSON QMHA
Counselor
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (503) 705-4135
JOE L NELSON
Peer Specialist
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
NOEL DEAN
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
AVERY GRACE QMHP
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
MR. JAY EDWARD HARRIS RN, MSN
Registered Nurse (Administrator)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 530-3066
KATIE KING
Counselor
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
SHELLY K RAY
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320
MICHAEL THORNTON
Counselor (Mental Health)
1058 NE 12TH ST
BEND, OR 97701
Deschutes County (541) 678-5320

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 Telecare Mental Health Services Of Oregon, Inc.'s NPI number?

The NPI number for Telecare Mental Health Services Of Oregon, Inc. is 1972814028. It was assigned to this organization in the NPPES registry on June 23, 2010. The provider is doing business as Telecare 12th Street House.

Where is Telecare Mental Health Services Of Oregon, Inc. located?

Telecare Mental Health Services Of Oregon, Inc. is located at 1058 NE 12th St, Bend, OR 97701. The listed phone number is (510) 337-7950.

What is Telecare Mental Health Services Of Oregon, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Telecare Mental Health Services Of Oregon, Inc. was last updated on May 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.