MEDICARE: DEANNA KAY

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		OR

General Provider Information

NPI Number	:	1144185414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA KAY

Provider Business Mailing Address
First Line	:	1236 NW BALTIMORE AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-3125
Country	:	US
Telephone Number	:	530-448-7207
Fax Number	:

Provider Business Practice Location Address
First Line	:	1236 NW BALTIMORE AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-3125
Country	:	US
Telephone Number	:	530-448-7207
Fax Number	:

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ DEANNA KAY ” Practice Location

Language	Start Address	Practice Location

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