Active NPI
Gwyn Fallbrooke, LPCC
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1275045759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5298
- Practice address
- 581 W 17TH Ave
Eugene, OR 97401-3816 - Phone
- (510) 842-0746
- NPI assigned
- Oct 24, 2017
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 5298 | CA | Primary |
Addresses
Primary practice location
581 W 17TH Ave
Eugene, OR 97401-3816
Mailing address
581 W 17TH Ave
Eugene, OR 97401-3816
Phone (510) 842-0746
Other practice location 1
2991 Shattuck Ave Ste 302
Berkeley, CA 94705-1872
Phone (510) 842-0746
Other names 1
- Quin Fallbrooke
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5298 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1275045759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 W 17TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013816",
"telephone_number": "510-842-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 W 17TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013816",
"telephone_number": "510-842-0746"
}
],
"practiceLocations": [
{
"address_1": "2991 Shattuck Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947051872",
"country_code": "US",
"telephone_number": "510-842-0746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALLBROOKE",
"first_name": "GWYN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2025-09-11",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "5298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "QUIN",
"last_name": "FALLBROOKE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eugene, OR
- Hillary Falburn, LCSW
- Lincoln William Falk
- Corrina Annette Falkenstein, PH.D
- Fall Creek Pain Management - Eugene (Fall Creek Pain Management)
- Ronald Padlan Fallarme, PAC
- Annette Fallian, LAC
- Rebecca Rose Fallihee, MS, CNS
- Family Vision Center, Inc
- Helen Rebecca Fanning
- Jessica Lena Fanning, PHD, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.