Active NPI
Brian Timonthy Longworth
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1295096907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3352
- Practice address
- 1973 Garden Ave
Eugene, OR 97403-1934 - Phone
- (541) 606-5446
- NPI assigned
- May 30, 2012
- Sex
- Male
- 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 | C3352 | OR | Primary |
Addresses
Primary practice location
1973 Garden Ave
Eugene, OR 97403-1934
Mailing address
433 W 10TH Ave
Eugene, OR 97401-3047
Phone (480) 318-6688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260427001581 | AZ | Practitioner - Mental Health Counselor | 0042787160 | Practice locations: Surprise, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14423 190TH Ave CT E
Bonney Lake, WA 98391-6169
15901 W Waddell Rd
Apt 1124
Surprise, AZ 85379-0023
Phone (541) 221-7463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3352 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1295096907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 W 10TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013047",
"telephone_number": "480-318-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 GARDEN AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031934",
"telephone_number": "541-606-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGWORTH",
"first_name": "BRIAN",
"middle_name": "TIMONTHY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-30",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3352",
"primary": true
}
],
"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 Mar 16, 2026; 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.