Active NPI
Lynda K. Marx, M.S., L.P.C.
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1295052520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1426
- Practice address
- 66 Club Rd Ste 300
Eugene, OR 97401-2463 - Phone
- (541) 393-5983
- Fax
- (541) 393-5984
- NPI assigned
- Apr 26, 2010
- Last updated
- May 10, 2021
- 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 | C1426 | OR | Primary |
Addresses
Primary practice location
66 Club Rd Ste 300
Eugene, OR 97401-2463
Mailing address
66 Club Rd
Eugene, OR 97401-2420
Phone (541) 393-5983
Other practice location 1
3995 Marcola Rd
Springfield, OR 97477-7948
Phone (541) 726-1465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500661812 | Medicaid | OR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1426 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Mental Health | Past | Accepting new patients |
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.
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1295052520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012420",
"telephone_number": "541-393-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 CLUB RD STE 300",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012463",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
}
],
"practiceLocations": [
{
"address_1": "3995 Marcola Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974777948",
"country_code": "US",
"telephone_number": "541-726-1465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARX",
"first_name": "LYNDA",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "M.S., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2021-05-10",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500661812",
"state": "OR"
}
],
"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 May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.