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Organization

Mirror Pond Counseling LLC

NPI Record: ActivePsychologist — Counseling
NPI1811531262
Bend, Oregon

Provider's NPPES record last updated: October 29, 2019

Overview

Entity Type
Organization
NPI
1811531262
Primary Specialty
Psychologist — Counseling
Practice Location
Bend, Oregon
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 3:04 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Counseling

    Behavioral Health & Social Service Providers

    Primary

    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

    Taxonomy code 103TC1900X
  • Counselor

    Pastoral

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YP1600X
  • Psychologist

    Cognitive & Behavioral

    Behavioral Health & Social Service Providers

    A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

    Taxonomy code 103TB0200X
  • Psychologist

    Family

    Behavioral Health & Social Service Providers

    A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

    Taxonomy code 103TF0000X
  • Psychologist

    Psychoanalysis

    Behavioral Health & Social Service Providers

    A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.

    Taxonomy code 103TP0814X
  • Psychologist

    Group Psychotherapy

    Behavioral Health & Social Service Providers

    A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

    Taxonomy code 103TP2701X
  • Clinic/Center

    Adult Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

    Taxonomy code 261QM0850X

Practice Locations

Practice Location

754 Nw Broadway St Ste 207

Bend, Oregon 97703-2776

Phone: (541) 668-7558

Other Names

  • Mirror Pond CounselingReported October 29, 2019

Record Information

Enumeration Date
October 29, 2019
Provider's NPPES Record Last Updated
October 29, 2019
NPISignal NPPES Dataset
August 2026

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