Individual provider Active NPI

Carol Elizabeth Warren, MSW, CMHS, MHP, RC

  • Addiction (Substance Use Disorder) Counselor
  • Eugene, OR
National Provider Identifier
1255494126
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-19-001 Issued in OR
Practice address
10 Shelton McMurphey Blvd
Eugene, OR 97401
Phone
(206) 276-0883
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-19-001 OR Primary
Professional Counselor 101YP2500X RC00052955 WA

Addresses

Primary practice location

10 Shelton McMurphey Blvd
Eugene, OR 97401

Mailing address

10 Shelton McMurphey Blvd
Eugene, OR 97401-4928
Phone (206) 276-0883

Other practice location 1

10 Shelton McMurphey Blvd
Eugene, OR 97401
Phone (206) 276-0883

Other identifiers 1

IdentifierTypeStateIssuer
500757201MedicaidOR

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
T-19-001ORMDAddiction (Substance Use Disorder) Counselor
RC00052955WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oslc Developments, Inc. - Clinic Past Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1255494126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHELTON MCMURPHEY BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014928",
            "telephone_number": "206-276-0883",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHELTON MCMURPHEY BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "206-276-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Shelton McMurphey Blvd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "206-276-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, CMHS, MHP, RC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-19-001",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00052955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500757201",
            "state": "OR"
        }
    ],
    "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 Mar 27, 2019; 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.