Vista Counseling & Consultation, Inc.
Organization Active NPI Community/Behavioral Health Agency · Eugene, OR
NPI 1275864985 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1275864985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1572 (OR)
- Legal business name
- VISTA COUNSELING & CONSULTATION, INC.
- Practice address
- 1551 Pearl St
Eugene, OR 97401-4010 - Phone
- (541) 517-9733
- NPI assigned
- Jan 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Julie Renee Liszka
- Title
- Assistant Director
- Phone
- (541) 517-9733
Practitioners 98
-
Ryan Adams, MSW
-
Christopher S Barker, LCSW
-
Lisa Marie Brauer, LCSW
-
Gary L Bredeweg, MSW
-
Traci Chenette, LCSW
-
Paris A Hunt, LCSW
-
Michele Markstrom, LMFT
-
Jennifer A. Mauro, PH.D.
-
Kathleen Jeanette Nutt, M.S.W., L.C.S.W
-
Jennifer Mae Owen, CSWA
-
Jondra Ann Pennington, M.S., M.F.T.
-
Leslie Richman, M.A., LPC, NCC
-
Wyatt Yurkovich, M.ED.
-
Elise Noel Bascom, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200902002946 | OR | Part B Supplier - Clinic/Group Practice | 1153748363 |
Receives reassigned benefits from 63 practitioners Practice locations: Eugene, OR |
National Provider Directory
Locations
1531 Pearl St
Eugene, OR 97401
Phone (541) 517-9733
1551 Pearl St
Eugene, OR 97401
Phone (541) 517-9733
1500 NE Irving St
Ste 440
Portland, OR 97232
Phone (541) 517-9733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1572 | OR | Yes |
Addresses
Primary practice location
1551 Pearl St
Eugene, OR 97401-4010
Mailing address
1531 Pearl St
Eugene, OR 97401-4010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500781714 | Medicaid | OR |
Other providers in Eugene, OR
- Vision Performance Center, LLC
- Vision Wellness, Inc
- Visions LLC
- Visionworks, Inc.
- Carissa Visser
- Kendra Vita
- Vital Health, LLC
- Vital Links West LLC
- Prashant P Vivek
- Vivona & Kaur Dental, LLC
All providers in Eugene, OR · Community/Behavioral Health Agency in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.