Active NPI
Radel Counseling Services, LLC
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1164096137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RADEL COUNSELING SERVICES, LLC
- Practice address
- 4736 Royal Ave # 212
Eugene, OR 97402-1755 - Phone
- (541) 600-4145
- NPI assigned
- May 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Curtis Radel, LCSW
- Title
- Owner, Therapist
- Phone
- (541) 600-4145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4736 Royal Ave # 212
Eugene, OR 97402-1755
Mailing address
4736 Royal Ave # 212
Eugene, OR 97402-1755
Phone (541) 600-4145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457779548 | Other | PERSONAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210623000608 | OR | Part B Supplier - Clinic/Group Practice | 3173924578 |
Receives reassigned benefits from 1 practitioner Practice locations: Eugene, OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1164096137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4736 ROYAL AVE # 212",
"city": "EUGENE",
"state": "OR",
"postal_code": "974021755",
"telephone_number": "541-600-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4736 ROYAL AVE # 212",
"city": "EUGENE",
"state": "OR",
"postal_code": "974021755",
"telephone_number": "541-600-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADEL COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "RADEL",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "CURTIS",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "541-600-4145",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1457779548",
"state": null
}
],
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.