Oleg Yurievich Timokhin, MFT-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

PENDING Issued in WI

Practice address

165 W Netherwood St
Oregon, WI 53575-1107

Phone

(608) 835-5050

Fax

(608) 835-5010

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oregon Mental Health Services,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oregon, WI
  • NPI 1801925433
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1134896830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 ANNIVERSARY LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043257",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOKHIN",
        "first_name": "OLEG",
        "middle_name": "YURIEVICH",
        "credential": "MFT-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "803228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mary@oregonmentalhealthservices.com",
            "affiliation": "N",
            "endpointDescription": "employer email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "employer email address",
            "address_1": "165 W Netherwood St",
            "city": "Oregon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535751107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oleg@oregonmentalhealthservices.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Oregon Mental Health Services,LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 W Netherwood St",
            "city": "Oregon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535751107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oleg@oregonmentalhealthservices.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Oregon Mental Health Services,LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 W Netherwood St",
            "city": "Oregon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535751107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Elizabeth Steiner, CFY-SLP
• Logan Stiegman
• Cathleen Marie Stott
• The Light Touch Caregiving, LLC
• Megan C Thomas
• Theresa Tolan, LMFT
• Clare Elizabeth Tschirhart, RN
• University of Wisconsin Medical Foundation Inc
• Susan Carroll Urban, R.N.
• Susana E Valdez-Shogren, RN

• All providers in Oregon, WI
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.