Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790131621 Individual Practitioner Female Practitioner

Sally Lemos

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Sally Lemos 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 5412489903
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: 2020-12-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C5275

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
283234 (OR)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Kimberly Richards , LPC, MS

Counselor - Professional

NPI 1003326109

Licensed Professional Counselor, Master of Science

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

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location December 15, 2020

Registered at 1005 SW DISK DR STE 104, BEND, OR 977023385 (Tel: 5412489903)

📍
Updated Business Mailing Address December 15, 2020

Registered at 63200 WISHING WELL LN, BEND, OR 977018272 (Tel: 5412489903)

📍
Updated Practice Location May 09, 2019

Registered at 51340 HIGHWAY 97, LA PINE, OR 977399871 (Tel: 5413227500)

📍
Updated Business Mailing Address May 09, 2019

Registered at 2577 NE COURTNEY DR, BEND, OR 977017638 (Tel: 5413227500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2019

Counselor (License #C5275 in OR)

NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2016

Registered at 1251 NE ELM ST, PRINEVILLE, OR 977541206 (Tel: 5413235330)

📍
Updated Business Mailing Address May 10, 2016

Registered at 1251 NE ELM ST, PRINEVILLE, OR 977541206 (Tel: 5413235330)

👤
Provider Name / Credentials Updated May 10, 2016

Recorded as SALLY LEMOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Counselor

🟢
Initial NPI Registration & Enumeration May 10, 2016

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: 1790131621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2016
Last Update: December 15, 2020
Sole Proprietor: No

Mailing Address

63200 Wishing Well Ln

Bend, OR 977018272

Phone: 5412489903

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.