Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609418466 Individual Practitioner Female Practitioner

Whitney Blackham , LPC

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Whitney Blackham, LPC is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 1435 NE 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1435 Ne 4th St

Bend, OR 977014200

Telephone 5419045216
Associated Practice Facility / Clinic

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: 2026-03-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C9671

Definition to come...

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License OR ABA-IN-10203718

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Locations

40 Nw Greenwood Ave Ste 130

Bend, OR 977032298

Phone: 5419030446

Practice Associates & Co-Workers

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

40 Associated Practitioners
Wendy Friess , LCSW

Social Worker - Clinical

NPI 1013624790

Licensed Clinical Social Worker

Anthony Liufau , MS, LPC

Counselor - Professional

NPI 1023427135

Master of Science, Licensed Professional Counselor

Brittney Gillyard , PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053893487

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Certified)

Tracy Klein , LCSW

Social Worker - Clinical

NPI 1063792984

Licensed Clinical Social Worker

Jeremy Rick

Counselor - Mental Health

NPI 1073120994
April Lara , MA

Counselor - Mental Health

NPI 1073392783

Master of Arts

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Behavior Technician (License #ABA-IN-10203718 in OR)

📍
Updated Business Mailing Address April 16, 2025

Registered at 7515 FALCON CREST DR # 200, REDMOND, OR 977565014 (Tel: 5419045216)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2025

Counselor (License #C9671 in OR)

📍
Updated Practice Location March 19, 2025

Registered at 1435 NE 4TH ST, BEND, OR 977014200 (Tel: 5419045216)

👤
Provider Name / Credentials Updated March 19, 2025

Recorded as WHITNEY BLACKHAM, LPC

📍
Updated Practice Location August 01, 2022

Registered at 1435 NE 4TH ST STE A, BEND, OR 977014268 (Tel: 5419045216)

📍
Updated Business Mailing Address August 01, 2022

Registered at 1435 NE 4TH ST STE A, BEND, OR 977014268

👤
Provider Name / Credentials Updated August 01, 2022

Recorded as WHITNEY BLACKHAM, LPCA

NPI Profile Active October 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2019

Registered at 19800 VILLAGE OFFICE CT STE 104, BEND, OR 977021813 (Tel: 5413063483)

📍
Updated Business Mailing Address October 14, 2019

Registered at PO BOX 1432, BEND, OR 977091432

👤
Provider Name / Credentials Updated October 14, 2019

Recorded as WHITNEY BUSHNELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2019

Behavior Technician (License #ABA-IN-10203718 in OR)

🟢
Initial NPI Registration & Enumeration October 14, 2019

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: 1609418466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2019
Last Update: March 10, 2026
Sole Proprietor: No

Mailing Address

7515 Falcon Crest Dr # 200

Redmond, OR 977565014

Phone: 5419045216

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.