Provider Demographics
NPI:1821385923
Name:WEST, MEGAN R (MS, LPC, CADC III)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:R
Last Name:WEST
Suffix:
Gender:F
Credentials:MS, LPC, CADC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 NW GREELEY AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2911
Mailing Address - Country:US
Mailing Address - Phone:541-678-1981
Mailing Address - Fax:
Practice Address - Street 1:29 NW GREELEY AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2911
Practice Address - Country:US
Practice Address - Phone:541-678-1981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-09
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13-09-58101YA0400X
ORC3361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR13-09-58OtherTHE ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON
281521OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS
ORC3361OtherOREGON BOARD OF LICENSED COUNSELORS AND THERAPIST