NPIMap

Organization Active NPI

Freedom Healthcare Inc

Doing business as Carson Valley Counseling

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1225638067
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREEDOM HEALTHCARE INC
Doing business as
Carson Valley Counseling
Practice address
777 High St Ste 130
Eugene, OR 97401-2750
Phone
(458) 224-8090
NPI assigned
Oct 30, 2020
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Holly Cooper
Title
Provider Support Supervisor
Phone
(541) 701-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

777 High St Ste 130
Eugene, OR 97401-2750

Mailing address

PO Box 810
Gold Beach, OR 97444-0810
Phone (541) 373-8116

Other practice location 1

615 5th St
Brookings, OR 97415-9199
Phone (541) 813-2535

Other names 1

  • Carson Valley Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1700 County Rd
Ste C
Minden, NV 89423
Phone (775) 313-0002

615 5th St
Brookings, OR 97415
Phone (541) 469-3113

777 High St
Ste 130
Eugene, OR 97401
Phone (541) 216-4034

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1225638067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974440810",
            "telephone_number": "541-373-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HIGH ST STE 130",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012750",
            "telephone_number": "458-224-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 5th St",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "OR",
            "postal_code": "974159199",
            "country_code": "US",
            "telephone_number": "541-813-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2022-04-26",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PROVIDER SUPPORT SUPERVISOR",
        "authorized_official_telephone_number": "541-701-9950"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Valley Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2022; 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.