Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932945730 Individual Practitioner Female Practitioner

Shannon Janelle Liebel

Counselor • Bend, OR

Professional Overview & Biography Verified Profile Summary

Shannon Liebel is a registered healthcare professional specializing in Counselor in Bend, OR. Practice services are available at 754 NW BROADWAY ST STE 207 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

754 Nw Broadway St Ste 207

Bend, OR 977032776

Telephone 5416687558
Associated Practice Facility / Clinic
🏢 Mirror Pond Counseling Llc Facility NPI 1811531262

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

CMS Verified: 2024-12-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR R9433

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.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License OR R9433

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Jandi Kelly , MS, PhD

Health & Wellness Coach

NPI 1104645324

Master of Science, Doctor of Philosophy (Ph.D.)

Stephanie Julia-Suriano

Counselor - Mental Health

NPI 1285470757
Kimberly Drew , MA

Counselor - Professional

NPI 1346794591

Master of Arts

Lisa Dean , QMHA, WELLNESS COACH

Health & Wellness Coach

NPI 1639968662

QMHA, WELLNESSCOACH

Anne Warzecha

Counselor - Mental Health

NPI 1912742016

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address December 07, 2024

Registered at 19748 DRY CANYON AVE, BEND, OR 977023961 (Tel: 6192465206)

NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 754 NW BROADWAY ST STE 207, BEND, OR 977032776 (Tel: 5416687558)

📍
Updated Business Mailing Address July 02, 2024

Registered at 61897 FALL CREEK LOOP, BEND, OR 977021106 (Tel: 6192465206)

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as SHANNON LIEBEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Counselor (License #R9433 in OR)

🟢
Initial NPI Registration & Enumeration July 02, 2024

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: 1932945730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: December 07, 2024
Sole Proprietor: No

Mailing Address

19748 Dry Canyon Ave

Bend, OR 977023961

Phone: 6192465206

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.