Individual provider Active NPI

Maegan D Mexicotte, M.S.

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1184903742
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5228 Issued in OR
Practice address
1029 River Rd
Eugene, OR 97404-3242
Phone
(541) 224-7585
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X C5228 OR Primary

Addresses

Primary practice location

1029 River Rd
Eugene, OR 97404-3242

Mailing address

1029 River Rd
Eugene, OR 97404-3242
Phone (541) 224-7585

Other identifiers 1

IdentifierTypeStateIssuer
500668355MedicaidOR

Other names 1

  • Ms. Maegan D Calvin Former name

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
I20251008003647 OR Practitioner - Mental Health Counselor 3375960933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Behavioral Health LLCGroup PAC ID 9931606647, 3 clinicians

Practice addresses (Care Compare)

1029 River Rd
Eugene, OR 97404-3242
Phone (541) 224-7585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5228ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Behavioral Health LLC Mental Health CurrentSince Aug 4, 2025 Accepting new patients

Locations

1029 River Rd
Eugene, OR 97404
Phone (541) 224-7585

Organizations & group practices 1

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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1184903742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "541-224-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "541-224-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEXICOTTE",
        "first_name": "MAEGAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500668355",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAEGAN",
            "last_name": "CALVIN",
            "middle_name": "D",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.