- Practice location
- 1252 NW Ithaca Ave, Bend, OR 97703-2221
- Phone
- 415-870-4133
- Fax
- —
- Last updated
- November 6, 2024
Kelly Ceglarz is a Marriage & Family Therapist based in Bend, OR. Kelly Ceglarz practices in Bend, OR and has the professional credentials of MA, BCBA, LMFT. The NPI Number for Kelly Ceglarz is 1215279963 and holds a License No. 1-11-8061 (CA). The current practice location address for Kelly Ceglarz is 1252 NW Ithaca Ave, Bend, OR 97703-2221 and can be reached out via phone at 415-870-4133.
Provider Profile Details
- NPI Number
- 1215279963
- Provider Name
- Kelly Ceglarz
- Credential
- MA, BCBA, LMFT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1252 NW Ithaca Ave, Bend, OR 97703-2221
- Phone Number
- 415-870-4133
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- Yes
- Other Names
- Kelly Flavin, MA, BCBA (Former Name)
- Provider Enumeration Date
- March 20, 2013
- Last Update Date
- November 6, 2024
- Certification Date
- November 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1252 NW Ithaca Ave
Bend, OR 97703-2221 - City
- Bend
- State
- Oregon
- Zip
- 97703-2221
- Phone Number
- 415-870-4133
Provider Business Mailing Address Details
- Address
- Po Box 42
Bend, OR 97709-0042 - City
- Bend
- State
- OR
- Zip
- 97709-0042
- Phone Number
- 158-704-1334
License Information
- License Number (1)
- 1-11-8061
- License State (1)
- CA
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- IMF66109
- License State (2)
- CA
- Taxonomy (2)
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Marriage & Family Therapists near Bend, OR
View all Marriage & Family Therapists in Bend →- Amy K Bordelon, LMFTMarriage & Family Therapist · NPI 1740642412
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- Anne S BaezMarriage & Family Therapist · NPI 1710563242
- David L Campbell, DSW, MA, LMFTMarriage & Family Therapist · NPI 1396324075
- Gemma G Biancucci, QMHPMarriage & Family Therapist · NPI 1134253537
- Haley Beckwith, LMFTMarriage & Family Therapist · NPI 1063933943
Frequently Asked Questions
What is the NPI number of Kelly Ceglarz, MA, BCBA, LMFT?
The NPI number of Kelly Ceglarz, MA, BCBA, LMFT is 1215279963. It was assigned on March 20, 2013 and is currently active in the NPPES registry.
What is the specialty of Kelly Ceglarz, MA, BCBA, LMFT?
Kelly Ceglarz, MA, BCBA, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CA under license number 1-11-8061.
Where does Kelly Ceglarz, MA, BCBA, LMFT practice?
The practice location is 1252 NW Ithaca Ave, Bend, OR 97703-2221. The office can be reached at 415-870-4133 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215279963 directly on the NPPES registry website.