Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588905319 Individual Practitioner Male Practitioner

Willaim Thomas Fagan , LPC

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Willaim Fagan, LPC is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 1569 SW NANCY WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1569 Sw Nancy Way

Bend, OR 977023234

Telephone 5416170377
Fax 5416170377
Associated Practice Facility / Clinic
🏢 Transformation Counseling Facility NPI 1366098261

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 C4302

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR R2719

Definition to come...

Secondary Practice Locations

676 Ne Negus Way

Redmond, OR 977568527

Phone: 5415164087

339 Sw Century Dr Ste 201

Bend, OR 977021338

Phone: 5415089593

Practice Associates & Co-Workers

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

40 Associated Practitioners
Elizabeth Hanley Szabo

Counselor - Mental Health

NPI 1023992781
Dustin Urban

Counselor - Mental Health

NPI 1033644505
Emily Petersen

Counselor - Mental Health

NPI 1033800727
Mark Poling

Counselor - Mental Health

NPI 1063229912
Michael Sagaert

Counselor - Professional

NPI 1104626522
Joshua Schaub

Marriage & Family Therapist

NPI 1104740935

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address August 15, 2019

Registered at 3616 SW REINDEER AVE, REDMOND, OR 977567953 (Tel: 5415089593)

📍
Updated Practice Location May 27, 2019

Registered at 1569 SW NANCY WAY, BEND, OR 977023234 (Tel: 5416170377)

📍
Updated Business Mailing Address May 27, 2019

Registered at 1569 SW NANCY WAY, BEND, OR 977023234 (Tel: 5416170377)

👤
Provider Name / Credentials Updated May 27, 2019

Recorded as WILLAIM FAGAN, LPC

NPI Profile Active March 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2013

Registered at 676 NE NEGUS WAY, REDMOND, OR 977568527 (Tel: 5415164087)

📍
Updated Business Mailing Address March 04, 2013

Registered at PO BOX 1710, REDMOND, OR 977560516 (Tel: 5415164087)

👤
Provider Name / Credentials Updated March 04, 2013

Recorded as WILLAIM FAGAN, LPC INTERN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2013

Counselor (License #R2719 in OR)

🟢
Initial NPI Registration & Enumeration March 04, 2013

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: 1588905319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2013
Last Update: August 15, 2019
Sole Proprietor: No

Mailing Address

3616 Sw Reindeer Ave

Redmond, OR 977567953

Phone: 5415089593

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.