Andrew William Buck, M.A., QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10 Shelton McMurphey Blvd
Eugene, OR 97401-4928

Phone

(541) 485-2711

Fax

(888) 975-0250

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Oslc Developments, Inc. - Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eugene, OR
  • NPI 1326433012
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043418007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHELTON MCMURPHEY BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014928",
            "telephone_number": "541-485-2711",
            "fax_number": "888-975-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHELTON MCMURPHEY BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014928",
            "telephone_number": "541-485-2711",
            "fax_number": "888-975-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.A., QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-17-219",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500663308",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohanna Shepard Buchanan, PHD, QMHP
• Emily Bucholtz, RPH
• Harold Bucholtz
• Jennifer L Bucholtz, LCSW, CADC II
• Chelsea Bucina, PSYD
• Richard Otis Buck, MD
• Savonda Jean Buckhanan
• Molly Buckles, M.S. CCC-A
• James Thomas Buckley, PHD
• Kirsten Gwen Buckley, LMT

• 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.