NPIMap

Organization Active NPI

Alive Holistic Counseling

  • Counselor
  • Eugene, OR
National Provider Identifier
1205388253
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
L6755 Issued in OR
Legal business name
ALIVE HOLISTIC COUNSELING
Practice address
1902 Jefferson St Ste 3
Eugene, OR 97405-2485
Phone
(541) 357-3248
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Ann Tepperman, LCSW
Title
Partner
Phone
(614) 306-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X L6755 OR Primary

Addresses

Primary practice location

1902 Jefferson St Ste 3
Eugene, OR 97405-2485

Mailing address

1902 Jefferson St Ste 3
Eugene, OR 97405-2485

National Provider Directory

National Provider Directory

Locations

1902 Jefferson St
Ste 3
Eugene, OR 97405
Phone (541) 357-3248

Practitioners & affiliated clinicians

Practitioners 10

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1205388253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JEFFERSON ST STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JEFFERSON ST STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052485",
            "telephone_number": "541-357-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE HOLISTIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "TEPPERMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-306-1122",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OR",
            "license": "L6755",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 25, 2016; 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.