Active NPI
Bonnie Thielke Temple, MA, NCC
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1265952451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R4797
- Practice address
- 921 Country Club Rd Ste 222
Eugene, OR 97401-2238 - Phone
- (541) 686-6000
- Fax
- (541) 344-8239
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R4797 | OR | Primary |
Addresses
Primary practice location
921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Mailing address
385 51St St
Springfield, OR 97478-6025
Phone (541) 556-7681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
921 Country Club Rd
Suite 222
Eugene, OR 97401-2238
Phone 5416866000558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4797 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christians As Family Advocates | Mental Health | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1265952451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 51ST ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974786025",
"telephone_number": "541-556-7681"
},
{
"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": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "BONNIE",
"middle_name": "THIELKE",
"name_prefix": "Ms.",
"credential": "MA, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R4797",
"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 Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.