Active NPI
Dana Lynn Morris, PSS
- Peer Specialist
- Eugene, OR
National Provider Identifier
1114110087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 687 Cheshire Ave
Eugene, OR 97402-5060 - Phone
- (541) 343-2993
- Fax
- (541) 343-2338
- NPI assigned
- Aug 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-20-223 | OR | |
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
687 Cheshire Ave
Eugene, OR 97402-5060
Mailing address
687 Cheshire Ave
Eugene, OR 97402-5060
Phone (541) 343-2993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Medicaid | OR | |
| 175T00000X | Medicaid | OR |
Other names 1
- Dana Lynn Burckel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-20-223 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Family, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/wfts/r4/
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Eugene, OR
- NPI 1376546291
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1114110087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 CHESHIRE AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025060",
"telephone_number": "541-343-2993",
"fax_number": "541-343-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 CHESHIRE AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025060",
"telephone_number": "541-343-2993",
"fax_number": "541-343-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DANA",
"middle_name": "LYNN",
"credential": "PSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-20-223",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YA0400X",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175T00000X",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "BURCKEL",
"middle_name": "LYNN",
"credential": "PSS",
"code": "1",
"type": "Former Name"
}
]
}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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.