Active NPI
Lindsey Deherrera, LMFT, M.A.
- Marriage & Family Therapist
- Eugene, OR
National Provider Identifier
1124553052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1467
- Practice address
- 1355 Oak St Ste 100
Eugene, OR 97401-3566 - Phone
- (541) 632-3826
- NPI assigned
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98749 | CA | |
| Marriage & Family Therapist | 106H00000X | T1467 | OR | Primary |
Addresses
Primary practice location
1355 Oak St Ste 100
Eugene, OR 97401-3566
Mailing address
1355 Oak St Ste 100
Eugene, OR 97401-3566
Phone (541) 632-3826
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98749 | CA | MD | Marriage & Family Therapist |
| T1467 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1124553052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 OAK ST STE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013566",
"telephone_number": "541-632-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 OAK ST STE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013566",
"telephone_number": "541-632-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHERRERA",
"first_name": "LINDSEY",
"credential": "LMFT, M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98749",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 13, 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.