Individual provider Active NPI

Cassandra Tyson Beers, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1205021680
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0800 Issued in OR
Practice address
317 Goodpasture Island Rd Ste D
Eugene, OR 97401-9724
Phone
(541) 799-4622
NPI assigned
Sep 10, 2007
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X OR
Marriage & Family Therapist 106H00000X T0800 OR Primary

Addresses

Primary practice location

317 Goodpasture Island Rd Ste D
Eugene, OR 97401-9724

Mailing address

317 Goodpasture Island Rd Ste D
Eugene, OR 97401-9724
Phone (541) 799-4622

Other practice location 1

132 E Broadway Ste 214
Eugene, OR 97401-3150
Phone (541) 799-4622

Other names 1

  • Ms. Cassandra Lynn Tyson-Beers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T0800ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1205021680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GOODPASTURE ISLAND RD STE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974019724",
            "telephone_number": "541-799-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GOODPASTURE ISLAND RD STE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974019724",
            "telephone_number": "541-799-4622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 E Broadway Ste 214",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013150",
            "country_code": "US",
            "telephone_number": "541-799-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEERS",
        "first_name": "CASSANDRA",
        "middle_name": "TYSON",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "TYSON-BEERS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.