OrganizationActive
Lutheran Community Services Nw
NPI 1093074882 · Mental Health Counselor · Bend, OR
Provider details
- NPI number
- 1093074882
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Parent organization
- Lutheran Community Services Nw
- Organization subpart
- Yes
- Authorized official
- Daniel Johnston, Contract and Grant Administrator(206) 816-3223
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Preferred Provider Organization305R00000X
Managed Care Organizations
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2330 Ne Division St Ste 9b
Bend, OR 97703-3530
Phone: (541) 323-5333
Fax: (541) 323-5854
Street-level locationGet directions
Mailing address
2545 N Eldorado Ave
Klamath Falls, OR 97601-6423
Other names (DBA / former)
- Other name
- Lutheran Community Services Nw - Bend
- Other name
- Lutheran Community Services Nw - Bend
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2019-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.