Organization Active NPI

NW Therapy Collective LLC

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1114560323
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NW THERAPY COLLECTIVE LLC
Practice address
400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452
Phone
(541) 912-8591
Fax
(541) 735-3182
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Brandon Marshall, LPCNPI 1750855094
Title
President
Phone
(541) 912-8591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452

Mailing address

400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452
Phone (541) 912-8591

Other names 1

  • Brandon Marshall Doing business as

National Provider Directory

National Provider Directory

Locations

400 E 2nd Ave
Ste 104E
Eugene, OR 97401
Phone (541) 224-7712

1158 High St
Ste 202
Eugene, OR 97401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1114560323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND AVE STE 104E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012452",
            "telephone_number": "541-912-8591",
            "fax_number": "541-735-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND AVE STE 104E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012452",
            "telephone_number": "541-912-8591",
            "fax_number": "541-735-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-912-8591",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Marshall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandon Marshall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 6, 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.