IndividualActive
Kimberly Medlock
NPI 1750090130 · Counselor · Bend, OR
Kimberly Medlock is a Counselor provider in Bend, OR (NPI 1750090130).
Provider details
- NPI number
- 1750090130
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% 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
2480 Ne Twin Knolls Dr
Bend, OR 97701-6833
Phone: (541) 848-1801
Street-level locationGet directions
Mailing address
16187 Dawn Rd
La Pine, OR 97739-8842
Registry dates
- Enumerated
- 2022-11-15
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Frequently asked questions
- What is Kimberly Medlock's NPI number?
- Kimberly Medlock's National Provider Identifier (NPI) is 1750090130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Medlock's specialty?
- Kimberly Medlock is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Medlock located?
- Kimberly Medlock's practice location on file with NPPES is 2480 Ne Twin Knolls Dr, Bend, OR 97701-6833.
- What is Kimberly Medlock's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Medlock is (541) 848-1801.
- Is Kimberly Medlock's NPI active?
- Yes — Kimberly Medlock's NPI (1750090130) is active in the NPPES registry as of the last update on 2022-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.