Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacey Ellen Riedl, LPC-INTERN

Individual provider Professional Counselor · NPI 1568035525

Jacey Ellen Riedl, LPC-INTERN is a Professional Counselor in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Partly verified

Some contact details are missing from the federal record.

Blissful Heart Wellness Center 29 NW Greeley Ave
Bend, OR 97703-5414
Phone: (303) 868-5241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C7786 (OR)
Professional Counselor Taxonomy 101YP2500X · Licence R6395 (OR)

Record details

NPI number1568035525
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-INTERN
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESDecember 1, 2023
Certification dateNovember 29, 2023
Mailing address2145 Nw Twilight Dr, Bend, OR 97703-5414

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