Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386064764 Individual Practitioner Male Practitioner

Sean Stradley , LPC CADC III

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Sean Stradley, LPC CADC III is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 593 NW YORK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Nw York Dr

Bend, OR 977037264

Telephone 5417283325
Associated Practice Facility / Clinic
🏢 Active Wellness Center Llc Facility NPI 1205779089

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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C5136

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 16-06-25

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CP60484457

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500720796 (OR)

Secondary Practice Locations

3 Se Cleveland Ave # A

Bend, OR 977021564

Phone: 5037290777

1655 Sw Highland Ave Ste 3

Redmond, OR 97756

Phone: 5037290777

1655 Sw Highland Ave Ste 3

Redmond, OR 97756

Phone: 5037290777

1011 Sw Emkay Dr Ste 104

Bend, OR 977023162

Phone: 5413233477

Practice Associates & Co-Workers

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

4 Associated Practitioners
Kimberly Johnson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1114531480

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Mark Dejohn , LMT, ART

Massage Therapist

NPI 1154644599

Licensed Massage Therapist, ART

Nicole Gricius , LPC

Counselor - Mental Health

NPI 1467838755

Licensed Professional Counselor

Dayna English , MS CCC-SLP

Speech-Language Pathologist

NPI 1891443578

MSCCCSLP

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location October 16, 2019

Registered at 593 NW YORK DR, BEND, OR 977037264 (Tel: 5417283325)

📍
Updated Business Mailing Address October 16, 2019

Registered at PO BOX 26, REDMOND, OR 977560002 (Tel: 5037290777)

👤
Provider Name / Credentials Updated October 16, 2019

Recorded as SEAN STRADLEY, LPC CADC III

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Counselor (License #16-06-25 in OR)

📍
Updated Practice Location March 21, 2019

Registered at 1011 SW EMKAY DR STE 104, BEND, OR 977023162 (Tel: 5413233477)

📍
Updated Business Mailing Address March 21, 2019

Registered at 1011 SW EMKAY DR STE 104, BEND, OR 977023162 (Tel: 5037290777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2019

Counselor (License #C5136 in OR)

📍
Updated Practice Location February 26, 2019

Registered at 1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756 (Tel: 5037290777)

📍
Updated Business Mailing Address February 26, 2019

Registered at PO BOX 26, REDMOND, OR 977560002 (Tel: 5037290777)

NPI Profile Active April 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2014

Registered at 1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 986613753 (Tel: 3603978246)

📍
Updated Business Mailing Address April 23, 2014

Registered at 2109 E EVERGREEN BLVD APT C, VANCOUVER, WA 986614385 (Tel: 5037290777)

👤
Provider Name / Credentials Updated April 23, 2014

Recorded as SEAN STRADLEY, CDPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2014

Counselor (License #CO60234305 in WA)

🟢
Initial NPI Registration & Enumeration April 23, 2014

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: 1386064764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2014
Last Update: October 16, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 26

Redmond, OR 977560002

Phone: 5037290777

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.