Active NPI
Angel Breanna Kammeyer, LPC
- Professional Counselor
- Eugene, OR
National Provider Identifier
1144739749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7877
- Practice address
- 115 W 8TH Ave Ste 300
Eugene, OR 97401-2997 - Phone
- (541) 623-0262
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R7256 | OR | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Adult Companion | 372600000X | |||
| Professional Counselor | 101YP2500X | C7877 | OR | Primary |
Addresses
Primary practice location
115 W 8TH Ave Ste 300
Eugene, OR 97401-2997
Mailing address
1292 High St # 1025
Eugene, OR 97401-3238
Phone (541) 623-0262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500779668 | Medicaid | OR |
Other names 1
- Angel Breanna Oliver
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7256 | OR | MD | Mental Health Counselor |
| C7877 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Directions, LLC | Mental Health | Current | Accepting new patients |
| Oregon Directions, LLC | Professional | Current | Accepting new patients |
| Selah Counseling & Wellness LLC | Mental Health | Past | Accepting new patients |
Locations
1705 Centennial Blvd
Ste 2
Springfield, OR 97477
Phone (970) 962-4819
Organizations & group practices 3
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.
-
- Professional Counselor
- Springfield, OR
- NPI 1104578350
-
- Mental Health Counselor
- Springfield, OR
- NPI 1225707763
-
- Mental Health Counselor
- Springfield, OR
- NPI 1851996524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1144739749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 HIGH ST # 1025",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013238",
"telephone_number": "541-623-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 8TH AVE STE 300",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012997",
"telephone_number": "541-623-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMEYER",
"first_name": "ANGEL",
"middle_name": "BREANNA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R7256",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500779668",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGEL",
"last_name": "OLIVER",
"middle_name": "BREANNA",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 23, 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.