Individual provider Active NPI

Louis Allen Carosio, M.A.

  • Psychologist
  • Eugene, OR
National Provider Identifier
1194843821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5032 Issued in OR
Practice address
474 Willamette St Ste 302
Eugene, OR 97401-2661
Phone
(541) 687-2835
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5032 OR Primary

Addresses

Primary practice location

474 Willamette St Ste 302
Eugene, OR 97401-2661

Mailing address

474 Willamette St Ste 302
Eugene, OR 97401-2661
Phone (541) 687-2835

Other identifiers 1

IdentifierTypeStateIssuer
J2515-01OtherORPACIFICSOURCE

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

LicenseStateTypeSpecialty
5032ORMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194843821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WILLAMETTE ST STE 302",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012661",
            "telephone_number": "541-687-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WILLAMETTE ST STE 302",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012661",
            "telephone_number": "541-687-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROSIO",
        "first_name": "LOUIS",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "J2515-01",
            "state": "OR"
        }
    ],
    "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 Jul 8, 2007; 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.