Individual provider Active NPI

Anthony Marcus Yakovich

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1083528764
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R11682 Issued in OR
Practice address
2641 Cascara Dr
Eugene, OR 97403-2562
Phone
(541) 505-0422
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X R11682 OR Primary

Addresses

Primary practice location

2641 Cascara Dr
Eugene, OR 97403-2562

Mailing address

2641 Cascara Dr
Eugene, OR 97403-2562
Phone (541) 505-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1083528764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 CASCARA DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032562",
            "telephone_number": "541-505-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 CASCARA DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032562",
            "telephone_number": "541-505-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOVICH",
        "first_name": "ANTHONY",
        "middle_name": "MARCUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R11682",
            "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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.