Individual provider Active NPI

Juan Carlos Nuno, MSW, QMHP, CADC CAND

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1275018152
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10 Shelton McMurphey Blvd
Eugene, OR 97401-4928
Phone
(541) 485-2711
Fax
(888) 975-0250
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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-18-429 OR
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10 Shelton McMurphey Blvd
Eugene, OR 97401-4928

Mailing address

10 Shelton McMurphey Blvd
Eugene, OR 97401-4928
Phone (541) 485-2711

Other identifiers 2

IdentifierTypeStateIssuer
500754878MedicaidOR
500752922MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920002521 OR Practitioner - Clinical Social Worker 7315488079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-18-429ORMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Mental Health CurrentSince Jun 23, 2024 Accepting new patients
Oslc Developments, Inc. - Clinic Past Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

1200 Hilyard St
Ste 310
Eugene, OR 97401
Phone (458) 205-6709

Organizations & group practices 2

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1275018152",
    "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": "541-485-2711",
            "fax_number": "888-975-0250"
        },
        {
            "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": "974014928",
            "telephone_number": "541-485-2711",
            "fax_number": "888-975-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "MSW, QMHP, CADC CAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-18-429",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500754878",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500752922",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.