Individual provider Active NPI

Matthew Trout

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1235568650
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C6006 Issued in OR
Practice address
2222 Coburg Rd Ste 100
Eugene, OR 97401-4988
Phone
(458) 210-2984
Fax
(458) 210-2985
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C6006 OR Primary

Addresses

Primary practice location

2222 Coburg Rd Ste 100
Eugene, OR 97401-4988

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240610001361 OR Practitioner - Mental Health Counselor 3577005230 Reassigns benefits to 1 organization
I20250514003574 MT Practitioner - Mental Health Counselor 3577005230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley ClinicsGroup PAC ID 4981943776, 13 clinicians

Practice addresses (Care Compare)

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6006ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Clinics CurrentSince Feb 1, 2026 Accepting new patients
Northeast Montana Health Services, Inc. Current Accepting new patients
Northeast Montana Health Services Inc Current Accepting new patients
Riverside Family Clinic CurrentSince Mar 1, 2025 Accepting new patients
Wolf Point Clinic Association Inc CurrentSince Mar 1, 2025 Accepting new patients
Corvallis Internal Medicine, PC CurrentSince Feb 1, 2026 Accepting new patients
Columbiacare Services PastSince Aug 28, 2022 Accepting new patients

Locations

315 Knapp St
Wolf Point, MT 59201
Phone (406) 653-6500

301 Knapp St
Wolf Point, MT 59201
Phone (406) 653-2150

3388 Pacific Blvd SW
Albany, OR 97321
Phone (541) 758-0766

981 NW Spruce Ave
Corvallis, OR 97330
Phone (541) 758-0766

Interoperability endpoints

  • Direct secure messaging: matthew.trout.p100@direct.wvp.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac22fd4c-796d-4bb8-9292-da1e40231549/

Organizations & group practices 7

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1235568650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 COBURG RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014988",
            "telephone_number": "458-210-2984",
            "fax_number": "458-210-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.