Kendra Vita, LPC
Individual provider Active NPI Professional Counselor · Eugene, OR
NPI 1245928902 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1245928902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C7354 (OR)
- Practice address
- 840 Lawrence St
Eugene, OR 97401-2828 - Phone
- (541) 968-3032
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7354 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C7354 | OR | Yes |
Addresses
Primary practice location
840 Lawrence St
Eugene, OR 97401-2828
Mailing address
815 Lawrence St Apt 10
Eugene, OR 97401-2868
Phone (541) 968-3032
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All providers in Eugene, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.