NPIMap

Organization Active NPI

Eugene Therapy LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1295065530
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
539991 Issued in OR
Legal business name
EUGENE THERAPY LLC
Practice address
401 E 10TH Ave
Ste 330
Eugene, OR 97401-3317
Phone
(541) 868-2004
NPI assigned
Jan 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elisabeth Pesce
Title
Secretary
Phone
(904) 605-4986

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X C2145 OR
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X T0624 OR
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 539991 OR Primary

Addresses

Primary practice location

401 E 10TH Ave
Ste 330
Eugene, OR 97401-3317

Mailing address

401 E 10TH Ave
Ste 330
Eugene, OR 97401-3317
Phone (541) 868-2004

Other names 1

  • Oregon Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

887 NW Grant Ave
Ste 202
Corvallis, OR 97330

401 E 10th Ave
Ste 200
Eugene, OR 97401
Phone (541) 345-5490

11011 SE Division St Ste 202
Portland, OR 97266

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1295065530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 10TH AVE",
            "address_2": "STE 330",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013317",
            "telephone_number": "541-868-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 10TH AVE",
            "address_2": "STE 330",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013317",
            "telephone_number": "541-868-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "PESCE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2145",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0624",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "539991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.