Individual provider Active NPI

Brandon Huffman, MA, NCC, CADC-I

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1114655115
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R8721 Issued in OR
Practice address
541 Willamette St Ste 315
Eugene, OR 97401-2692
Phone
(541) 321-0134
Fax
(503) 961-1628
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R8721 OR Primary

Addresses

Primary practice location

541 Willamette St Ste 315
Eugene, OR 97401-2692

Mailing address

65 Division Ave # 375
Eugene, OR 97404-2485
Phone (541) 321-0134

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
I20240614000546 OR Practitioner - Mental Health Counselor 2567905946 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

541 Willamette St
Suite 315
Eugene, OR 97401-2692
Phone (541) 321-0134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R8721ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Above Counseling LLC Mental Health CurrentSince May 1, 2024 Accepting new patients
Pacific NW Mindful Change LLC Mental Health PastSince Apr 1, 2024 Accepting new patients

Locations

541 Willamette St
Ste 315
Eugene, OR 97401
Phone (540) 824-4461

Organizations & group practices 2

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1114655115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DIVISION AVE # 375",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042485",
            "telephone_number": "541-321-0134",
            "fax_number": "503-961-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST STE 315",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012692",
            "telephone_number": "541-321-0134",
            "fax_number": "503-961-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "BRANDON",
        "credential": "MA, NCC, CADC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.