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Deactivated NPI 1477855393 Deactivated / Inactive NPI Male Practitioner

Charles Forward

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, Charles Forward has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2010
NPI Deactivation Date January 03, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Charles Forward was a registered Counselor practicing in Bend, OR. Throughout an active medical career spanning 14 years, Charles Forward provided care at the practice location at 20370 POE SHOLES RD. until profile deactivation on 2024-01-03.

Practice Location & Contact Primary Location

Practice Address

20370 Poe Sholes Rd.
Telecare

Bend, OR 97701

Telephone 5419232871

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

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
NPI 1679878532

Bachelor of Arts

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 January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active November 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 29, 2010

Registered at 20370 POE SHOLES RD., TELECARE, BEND, OR 97701 (Tel: 5419232871)

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Updated Business Mailing Address November 29, 2010

Registered at 20370 POE SHOLES, TELECARE, BEND, OR 97701

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Provider Name / Credentials Updated November 29, 2010

Recorded as CHARLES FORWARD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2010

Counselor

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Initial NPI Registration & Enumeration November 29, 2010

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: 1477855393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2010
Last Update: November 29, 2010
Deactivation Date: January 03, 2024

Mailing Address

20370 Poe Sholes, Telecare

Bend, OR 97701

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.