Individual provider Active NPI

Linda Selena Myers, DCC

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1093765943
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6693 Issued in OR
Practice address
399 E 10TH Ave
Eugene, OR 97401-3380
Phone
(541) 868-2004
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5231 SC
Mental Health Counselor 101YM0800X TPMC2417 FL
Mental Health Counselor 101YM0800X LH61331189 WA
Professional Counselor 101YP2500X LCPC9188 ID
Professional Counselor 101YP2500X LPC007949 GA
Professional Counselor 101YP2500X C6693 OR Primary

Addresses

Primary practice location

399 E 10TH Ave
Eugene, OR 97401-3380

Mailing address

399 E 10TH Ave
Eugene, OR 97401-3380
Phone (541) 868-2004

Other identifiers 3

IdentifierTypeStateIssuer
5231OtherSCLICENSED PROFESSIONAL COUNSELOR
PC1152MedicaidSC
5304OtherSCLICENSED PROFESSIONAL COUNSELOR SUPERVISOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001424 OR Practitioner - Mental Health Counselor 0941728992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

399 E 10TH Ave
Eugene, OR 97401-3380
Phone (541) 868-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5231SCMDCounselor
TPMC2417FLMDMental Health Counselor
LH61331189WAMDMental Health Counselor
LPC007949GAMDProfessional Counselor
LCPC9188IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Mar 1, 2025 Accepting new patients
Faith Enterprise Counseling Center LLC Counselor CurrentSince Apr 9, 2023 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Mar 1, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

399 E 10th Ave
Eugene, OR 97401
Phone (541) 868-2004

Interoperability endpoints

  • Direct secure messaging: linda.myers.1@28621.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1093765943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013380",
            "telephone_number": "541-868-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013380",
            "telephone_number": "541-868-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LINDA",
        "middle_name": "SELENA",
        "name_prefix": "Dr.",
        "credential": "DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "5231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC2417",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61331189",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC9188",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007949",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "5231",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1152",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR SUPERVISOR",
            "identifier": "5304",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.