Individual provider Active NPI

Ildiko M Overbay

  • Professional Counselor
  • Corvallis, OR
National Provider Identifier
1295975597
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2292 Issued in OR
Practice address
760 SW Madison Ave Ste 204
Corvallis, OR 97333-4590
Phone
(541) 231-5067
Fax
(888) 834-1961
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADCI 03-11-39 OR
Professional Counselor 101YP2500X C2292 OR Primary

Addresses

Primary practice location

760 SW Madison Ave Ste 204
Corvallis, OR 97333-4590

Mailing address

760 SW Madison Ave Ste 204
Corvallis, OR 97333-4590
Phone (541) 231-5067

Other names 1

  • Ildiko Horvath Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 5, 2026 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C2292ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1295975597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SW MADISON AVE STE 204",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334590",
            "telephone_number": "541-231-5067",
            "fax_number": "888-834-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SW MADISON AVE STE 204",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334590",
            "telephone_number": "541-231-5067",
            "fax_number": "888-834-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBAY",
        "first_name": "ILDIKO",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CADCI 03-11-39",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILDIKO",
            "last_name": "HORVATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.