| Total Being Counseling Llc | |
|
139 W 2nd Ave Ste 4 Cannon Beach OR 97110-2072 | |
| (503) 440-0046 | |
| (503) 717-6519 |
| Full Name | Total Being Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 139 W 2nd Ave Ste 4, Cannon Beach, Oregon |
| Authorized Official Name and Position | Timothy Richard Schendel (OWNER/THERAPIST) |
| Authorized Official Contact | 5034400046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Being Counseling Llc 89121 Pinehurst Rd Gearhart OR 97138-7365 Ph: (503) 440-0046 | Total Being Counseling Llc 139 W 2nd Ave Ste 4 Cannon Beach OR 97110-2072 Ph: (503) 440-0046 |
| NPI Number | 1205561776 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Medicare PECOS PAC ID | 8628451408 |
|---|---|
| Medicare Enrollment ID | O20220810003822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205561776 | NPI | - | NPPES |
| 500810828 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Timothy Schendel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154742211 PECOS PAC ID: 0345553996 Enrollment ID: I20201119002822 |