Invictus Therapy and Consultation LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INVICTUS THERAPY AND CONSULTATION LLC

Practice address

911 Country Club Rd Ste 290
Eugene, OR 97401-1301

Phone

(541) 313-6199

Fax

(541) 576-8977

NPI assigned

Aug 26, 2019

Last updated

Feb 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Cohn, PHD, LPNPI 1942417829

Title

Owner

Phone

(541) 313-6199

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Phillip Cohn, PH.D.

  • Psychologist
  • Eugene, OR
  • NPI 1942417829
  NPD Authorized official
• Dollar Ganu

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1881432912
  NPD
• Sarah Elizabeth Quewakum, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, OR
  • NPI 1639450026

  Counselor

  NPD
• Cinthia Rojas Villagomez

  • Marriage & Family Therapist
  • Eugene, OR
  • NPI 1811881824
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1114574936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD STE 290",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011301",
            "telephone_number": "541-313-6199",
            "fax_number": "541-576-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD STE 290",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011301",
            "telephone_number": "541-313-6199",
            "fax_number": "541-576-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS THERAPY AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-313-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500662798",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joseph Michael Ippolito, OTR/L
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• Hira Irfan
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• Taylor Irvin

• Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.