OrganizationActive
Bounce Back Therapy, LLC
NPI 1417548736 · Professional Counselor · Lyons, OR
Provider details
- NPI number
- 1417548736
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cynthia Scott, Ma(503) 400-4485
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
11351 Pioneer Rd Se
Lyons, OR 97358-9759
Phone: (503) 400-4485
Street-level locationGet directions
Mailing address
11351 Pioneer Rd Se
Lyons, OR 97358-9759
Registry dates
- Enumerated
- 2021-01-29
- Last updated
- 2023-07-26
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.