MEDICARE: MR. SCOTT CYPRESS LPC, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C8228	OR
2	101YM0800X	Mental Health Counselor	MH12908	FL

General Provider Information

NPI Number	:	1538710975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT CYPRESS LPC, LMHC

Provider Business Mailing Address
First Line	:	700 NW HILL ST STE 4
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2960
Country	:	US
Telephone Number	:	813-390-7557
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 NE 4TH ST STE 1
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-4647
Country	:	US
Telephone Number	:	813-390-7557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	08/21/2024

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Directions to “ MR. SCOTT CYPRESS LPC, LMHC” Practice Location

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