IndividualActive
Tracy Paul
NPI 1780452011 · Mental Health Counselor · Bend, OR
Provider details
- NPI number
- 1780452011
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
497 Sw Century Dr Ste 102
Bend, OR 97702-1167
Phone: (541) 419-4518
Street-level locationGet directions
Mailing address
21067 Gift Rd
Bend, OR 97703-8930
Additional practice locations (1)
- 61690 Pettigrew RdBend, OR 97702-2422Phone: (541) 617-0377Fax: (833) 776-0563
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.