Carissa Visser

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C9979 Issued in OR

Practice address

2110 Hubbard LN
Eugene, OR 97403-2104

Phone

(541) 321-6406

NPI assigned

Feb 18, 2022

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

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

• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Mental Health, OR

  Medicare reassignment NPD
• Center for Family Development, Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1265609184
  NPD (past)
• Center for Family Development, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eugene, OR
  • NPI 1538150388
  NPD (past)

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1033864988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HUBBARD LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032104",
            "telephone_number": "541-321-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HUBBARD LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032104",
            "telephone_number": "541-321-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "CARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtual Recovery, LLC
• Vision Performance Center, LLC
• Vision Wellness, Inc
• Visions LLC
• Visionworks, Inc. (Visionworks)
• Vista Counseling & Consultation, Inc.
• Kendra Vita, LPC
• Vital Health, LLC
• Vital Links West LLC (Oregon Optimal Health)
• Prashant P Vivek, MD

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.