Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003326109 Individual Practitioner Female Practitioner

Kimberly M Richards , LPC, MS

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Kimberly Richards, LPC, MS is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 1005 SW DISK DR STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1005 Sw Disk Dr Ste 104

Bend, OR 977023385

Telephone 5414199949
Associated Practice Facility / Clinic
🏢 New Bloom Therapy, Llc Facility NPI 1447846258

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
214 Specialists

Practicing in Bend, OR (2601 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C5608

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR R-4963

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Lea Croft , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396481982

Psychiatric-Mental Health Nurse Practitioner

Abigail Bruntlett , LPC

Counselor - Mental Health

NPI 1760918619

Licensed Professional Counselor

Elizabeth Blackwood , MSW, LCSW

Social Worker - Clinical

NPI 1780295287

Master of Social Work, Licensed Clinical Social Worker

Sally Lemos

Counselor - Professional

NPI 1790131621

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 1005 SW DISK DR STE 104, BEND, OR 977023385 (Tel: 5414199949)

📍
Updated Business Mailing Address January 08, 2025

Registered at 1005 SW DISK DR STE 104, BEND, OR 977023385 (Tel: 4141999495)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Counselor (License #R-4963 in OR)

📍
Updated Practice Location March 05, 2020

Registered at 51340 HIGHWAY 97, LA PINE, OR 977399871 (Tel: 5416174779)

📍
Updated Business Mailing Address March 05, 2020

Registered at 2577 NE COURTNEY DR, BEND, OR 977017752 (Tel: 5413227500)

👤
Provider Name / Credentials Updated March 05, 2020

Recorded as KIMBERLY RICHARDS, LPC, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Counselor (License #C5608 in OR)

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 29 NW GREELEY AVE, BEND, OR 977032911 (Tel: 5414199949)

📍
Updated Business Mailing Address October 03, 2017

Registered at 20283 SCHAEFFER DR, BEND, OR 977037106 (Tel: 5414199949)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as KIMBERLY RICHARDS, M-COUN, NCC, LPC-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Counselor (License #R-4963 in OR)

🟢
Initial NPI Registration & Enumeration October 03, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003326109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2017
Last Update: January 08, 2025
Sole Proprietor: Yes

Mailing Address

1005 Sw Disk Dr Ste 104

Bend, OR 977023385

Phone: 4141999495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.