NPIMap

Organization Active NPI

Applegate Counseling LLC

  • Counselor
  • Eugene, OR
National Provider Identifier
1023625191
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
APPLEGATE COUNSELING LLC
Practice address
1997 Garden Ave
Eugene, OR 97403-1934
Phone
(541) 344-5978
Fax
(541) 344-1830
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Daniel B Duncan, LPCNPI 1659447860
Title
Managing Member
Phone
(541) 344-5978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1997 Garden Ave
Eugene, OR 97403-1934

Mailing address

1997 Garden Ave
Eugene, OR 97403-1934
Phone (541) 344-5978

Other identifiers 1

IdentifierTypeStateIssuer
500786145MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220804003832 OR Part B Supplier - Clinic/Group Practice 5294117313 Receives reassigned benefits from 7 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

1997 Garden Ave
Eugene, OR 97403
Phone (541) 344-5978

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1023625191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031934",
            "telephone_number": "541-344-5978",
            "fax_number": "541-344-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031934",
            "telephone_number": "541-344-5978",
            "fax_number": "541-344-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "541-344-5978",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500786145",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.