The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bend and Oregon

210 active clinicians are listed under Counselor - Professional with a practice address in Bend, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

4.8% of these 210 clinicians have the CMS telehealth indicator.

16.7% of these 210 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-22

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C6081

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location July 22, 2025

Registered at 164 NW HAWTHORNE AVE, BEND, OR 977032918 (Tel: 8025959090)

📍

Updated Business Mailing Address July 22, 2025

Registered at 164 NW HAWTHORNE AVE, BEND, OR 977032918

✅

NPI Profile Active March 07, 2023

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 07, 2023

Registered at 19213 MT SHASTA DR, BEND, OR 977033050 (Tel: 8025959090)

📍

Business Mailing Address (Initial Record) March 07, 2023

Registered at 19213 MT SHASTA DR, BEND, OR 977033050

👤

Provider Name / Credentials (Initial Record) March 07, 2023

Recorded as MICHAEL SULLIVAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Counselor (license number reported to NPPES: OR C6081)

🟢

Initial NPI Registration & Enumeration March 07, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1376243402

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 07, 2023

Last Update: July 22, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

164 Nw Hawthorne Ave

Bend, OR 977032918

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.