Individual provider Active NPI

Rebecca Perdew, M.S.W.

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1023430774
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
581 W 17TH Ave
Eugene, OR 97401-3816
Phone
(541) 204-2462
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X L7565 OR

Addresses

Primary practice location

581 W 17TH Ave
Eugene, OR 97401-3816

Mailing address

581 W 17TH Ave
Eugene, OR 97401-3816
Phone (541) 204-2462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119001700 OR Practitioner - Clinical Social Worker 2264864974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

581 W 17TH Ave
Eugene, OR 97401-3816
Phone (541) 214-2784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Freedom, LLC Mental Health CurrentSince Oct 19, 2019 Accepting new patients
Addiction Counseling and Education Services Inc. Mental Health PastSince Mar 30, 2026 Accepting new patients

Locations

581 W 17th Ave
Eugene, OR 97401
Phone (541) 204-2462

352 W 12th Ave
Eugene, OR 97401
Phone (541) 255-1952

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1023430774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013816",
            "telephone_number": "541-204-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013816",
            "telephone_number": "541-204-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDEW",
        "first_name": "REBECCA",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.