Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528598109 Individual Practitioner Female Practitioner

Nicole Marie Keith , MA

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Nicole Keith, MA is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 2577 NE COURTNEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2577 Ne Courtney Dr

Bend, OR 977017752

Telephone 5413227500
Fax 5413227565
Associated Practice Facility / Clinic
🏢 Deschutes County Oregon Facility NPI 1023056017

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: 2025-08-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C7715

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR R5203

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

11010 Se Division St Ste 202

Portland, OR 972666400

Phone: 5033355975

11010 Se Division St Ste 202

Portland, OR 972666400

Phone: 5033355975

Practice Associates & Co-Workers

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

40 Associated Practitioners
Anne Remsen , BA

Counselor - Mental Health

NPI 1003064973

Bachelor of Arts

Joanne White

Counselor - Mental Health

NPI 1003101395
Marissa Inman

Counselor - Mental Health

NPI 1003367459
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836
Heather Welker , OT

Occupational Therapist

NPI 1003949140

Occupational Therapist

Tania Kneuer , OTL ASDCS

Occupational Therapist - Mental Health

NPI 1013064633

OTLASDCS

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 19, 2025

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

👤
Provider Name / Credentials Updated August 19, 2025

Recorded as NICOLE KEITH, MA

📍
Updated Practice Location September 28, 2023

Registered at 63311 JAMISON ST, BEND, OR 977038288 (Tel: 5415857210)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2023

Counselor (License #R5203 in OR)

📍
Updated Practice Location August 01, 2018

Registered at 2577 NE COURTNEY DR, BEND, OR 97701 (Tel: 5413227500)

📍
Updated Business Mailing Address August 01, 2018

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

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 11010 SE DIVISION ST STE 202, PORTLAND, OR 972666400 (Tel: 5033355975)

📍
Updated Business Mailing Address June 15, 2017

Registered at 8059 N BURLINGTON AVE, PORTLAND, OR 972033736

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as NICOLE VON LAVEN, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Counselor

🟢
Initial NPI Registration & Enumeration June 15, 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: 1528598109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: August 19, 2025
Sole Proprietor: No

Mailing Address

2577 Ne Courtney Dr

Bend, OR 977017752

Phone: 5413227500

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.