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Sally Lemos

Counselor - Professional β€’ Bend, OR

Active NPI 1790131621 Individual Practitioner Female Practitioner
Practice location in NPPES

1005 Sw Disk Dr Ste 104
Bend, OR 977023385

Call 5412489903 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

1005 Sw Disk Dr Ste 104

Bend, OR 977023385

Telephone 5412489903
Organization at the Same NPPES Address or Phone
New Bloom Therapy, Llc Facility NPI 1447846258

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Addresses are self-reported to NPPES and may be out of date.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: 2020-12-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C5275
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
283234 (OR)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location December 15, 2020

Registered at 1005 SW DISK DR STE 104, BEND, OR 977023385 (Tel: 5412489903)

πŸ“
Updated Business Mailing Address December 15, 2020

Registered at 63200 WISHING WELL LN, BEND, OR 977018272 (Tel: 5412489903)

πŸ“
Updated Practice Location May 09, 2019

Registered at 51340 HIGHWAY 97, LA PINE, OR 977399871 (Tel: 5413227500)

πŸ“
Updated Business Mailing Address May 09, 2019

Registered at 2577 NE COURTNEY DR, BEND, OR 977017638 (Tel: 5413227500)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2019

Counselor (license number reported to NPPES: OR C5275)

βœ…
NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2016

Registered at 1251 NE ELM ST, PRINEVILLE, OR 977541206 (Tel: 5413235330)

πŸ“
Business Mailing Address (Initial Record) May 10, 2016

Registered at 1251 NE ELM ST, PRINEVILLE, OR 977541206 (Tel: 5413235330)

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2016

Recorded as SALLY LEMOS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Counselor

🟒
Initial NPI Registration & Enumeration May 10, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790131621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2016
Last Update: December 15, 2020
Sole Proprietor: No

Mailing Address

63200 Wishing Well Ln

Bend, OR 977018272

Phone: 5412489903

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.