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Deactivated NPI 1477780385 Deactivated / Inactive NPI Female Practitioner

Dr. Carol Folsom Sisson , PhD

Counselor • Bend, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Carol Sisson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2009
NPI Deactivation Date May 24, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Carol Sisson, PhD was a registered Counselor practicing in Bend, OR. Throughout an active medical career spanning 14 years, Dr. Sisson provided care at the practice location at 205 SE DAVIS AVE until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

205 Se Davis Ave

Bend, OR 977021333

Telephone 5413889904
Fax 5413884997

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
97 Specialists

Practicing in Bend, OR (4551 Statewide)

Telehealth Adoption Rate
1.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR 0005

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Fred Saporito , PhD

Counselor - Mental Health

NPI 1861846495

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active June 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2009

Registered at 205 SE DAVIS AVE, BEND, OR 977021333 (Tel: 5413889904)

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Updated Business Mailing Address June 18, 2009

Registered at 205 SE DAVIS AVE, BEND, OR 97702 (Tel: 5413889904)

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Provider Name / Credentials Updated June 18, 2009

Recorded as CAROL SISSON, PH.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2009

Counselor (License #0005 in OR)

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Initial NPI Registration & Enumeration June 18, 2009

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: 1477780385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2009
Last Update: June 18, 2009
Deactivation Date: May 24, 2023

Mailing Address

205 Se Davis Ave

Bend, OR 97702

Phone: 5413889904

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.