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Phoebe Samantha Clark , MA, LPC, ATR

Counselor - Professional β€’ Bend, OR

Active NPI 1881050490 Individual Practitioner Female Practitioner
Practice location in NPPES

19855 4th St Ste 106
Bend, OR 977037814

Call 5412030970 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19855 4th St Ste 106

Bend, OR 977037814

Telephone 5412030970
Organization at the Same NPPES Address or Phone
Hansen Counseling Ltd Facility NPI 1932628211

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

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: NPI first issued

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, β€œDoes 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C5258
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
85338559 (NM)

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location April 30, 2026

Registered at 19855 4TH ST STE 106, BEND, OR 977037814 (Tel: 5412030970)

πŸ“
Updated Business Mailing Address April 30, 2026

Registered at 19855 4TH ST STE 106, BEND, OR 977037814 (Tel: 5412030970)

πŸ“
Updated Practice Location April 08, 2021

Registered at 66975 WEST ST, BEND, OR 977039283 (Tel: 5412030970)

πŸ“
Updated Business Mailing Address April 08, 2021

Registered at 66975 WEST ST, BEND, OR 977039283 (Tel: 5412030970)

πŸ“
Updated Practice Location September 06, 2019

Registered at 1103 NE ELM ST, PRINEVILLE, OR 977541664 (Tel: 5413235330)

πŸ“
Updated Business Mailing Address September 06, 2019

Registered at 1103 NE ELM ST, PRINEVILLE, OR 977541664 (Tel: 5413235330)

πŸ‘€
Provider Name / Credentials Updated September 06, 2019

Recorded as PHOEBE CLARK, MA, LPC, ATR.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2019

Counselor (license number reported to NPPES: OR C5258)

βœ…
NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2016

Registered at 1524B BISHOPS LODGE RD, SANTA FE, NM 875060209 (Tel: 5059836158)

πŸ“
Business Mailing Address (Initial Record) January 12, 2016

Registered at PO BOX 449, TESUQUE, NM 875740449 (Tel: 5059836158)

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2016

Recorded as PHOEBE CLARK, LSAA, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Counselor (license number reported to NPPES: NM 0174891)

🟒
Initial NPI Registration & Enumeration January 12, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881050490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2016
Last Update: April 30, 2026
Sole Proprietor: Yes

Mailing Address

19855 4th St Ste 106

Bend, OR 977037814

Phone: 5412030970

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.