Individual provider Active NPI

Terry N Hoagland

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1245852011
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19-QMHPC-00864 Issued in OR
Practice address
921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Phone
(541) 686-6000
Fax
(541) 344-8239
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 19-QMHPC-00864 OR Primary

Addresses

Primary practice location

921 Country Club Rd Ste 222
Eugene, OR 97401-2238

Mailing address

1262 Montecello Dr
Eugene, OR 97404-3849
Phone (541) 619-7129

Other practice location 1

1262 Montecello Dr
Eugene, OR 97404-3849
Phone (541) 619-7129

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

State licenses

LicenseStateTypeSpecialty
19-QMHPC-00864ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christians As Family Advocates CurrentSince May 17, 2020 Accepting new patients

Locations

921 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 686-6000

Organizations & group practices 1

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1245852011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 MONTECELLO DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043849",
            "telephone_number": "541-619-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012238",
            "telephone_number": "541-686-6000",
            "fax_number": "541-344-8239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1262 Montecello Dr",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974043849",
            "country_code": "US",
            "telephone_number": "541-619-7129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAGLAND",
        "first_name": "TERRY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "19-QMHPC-00864",
            "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 May 14, 2020; 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.