Active NPI
Kaitlyn Selser, LPC
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1285111633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C6106
- Practice address
- 3 River Ave
Eugene, OR 97404-2506 - Phone
- (866) 972-0235
- NPI assigned
- Jul 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C6106 | OR | Primary |
| Counselor | 101Y00000X | 180.011518 | IL |
Addresses
Primary practice location
3 River Ave
Eugene, OR 97404-2506
Mailing address
35 Club Rd Apt 412
Eugene, OR 97401-7949
Phone (406) 439-0220
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3 River Ave
Eugene, OR 97404-2506
Phone (866) 972-0235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.011518 | IL | MD | Counselor |
| C6106 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicops LLC | Mental Health | Current | Accepting new patients |
| Clinicops, LLC | Mental Health | Current | Accepting new patients |
| Access Community Health Network | Past | Accepting new patients | |
| Clinicops LLC | Mental Health | Past | Accepting new patients |
| Clinicops LLC | Past | Accepting new patients |
Locations
3 River Ave
Eugene, OR 97404
2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800
2459 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 275-8783
923 NW 14th Ave
Portland, OR 97209
374 Owens St SE
Salem, OR 97302
Phone (503) 399-1400
Interoperability endpoints
- kaitlyn.selser.1@32746.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Florence, OR
- NPI 1497251268
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1285111633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CLUB RD APT 412",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017949",
"telephone_number": "406-439-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVER AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042506",
"telephone_number": "866-972-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELSER",
"first_name": "KAITLYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C6106",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.011518",
"primary": false
}
],
"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 Oct 11, 2022; 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.