OrganizationActive
Broken Top Counseling, LLC
NPI 1679217673 · Mental Health Counselor · Bend, OR
Provider details
- NPI number
- 1679217673
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Moore, Owner(541) 280-5210
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
760 Nw Harriman St Ste 100
Bend, OR 97703-2789
Phone: (541) 280-5210
Street-level locationGet directions
Mailing address
760 Nw Harriman St Ste 100
Bend, OR 97703-2789
Registry dates
- Enumerated
- 2022-04-25
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.