Active NPI
Paula L Wang, LPC
- Professional Counselor
- Eugene, OR
National Provider Identifier
1063657195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1029 River Rd
Eugene, OR 97404-3242 - Phone
- (503) 972-0235
- Fax
- (541) 631-5114
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1029 River Rd
Eugene, OR 97404-3242
Mailing address
2411 Lenore Dr
Eugene, OR 97404-2397
Phone (503) 304-1705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1063657195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 LENORE DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042397",
"telephone_number": "503-304-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043242",
"telephone_number": "503-972-0235",
"fax_number": "541-631-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "PAULA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.