Sandra Mackerell, QMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C5627 Issued in OR

Practice address

398 High St
Eugene, OR 97401-2310

Phone

(541) 344-1121

Fax

(541) 344-4780

NPI assigned

Apr 26, 2015

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Shangri-la Corporation

  dba Shangri-La Corporation

  • Community/Behavioral Health Agency
  • Eugene, OR
  • NPI 1053858993
  NPD
• Alive Counseling Clinic, LLC

  • Professional Counselor
  • Eugene, OR
  • NPI 1801651617
  NPD (past)
• Alive Holistic Counseling

  • Counselor
  • Eugene, OR
  • NPI 1205388253
  NPD (past)
• The Shangri-la Corporation

  dba Shangri-La Corporation

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1578000758
  NPD (past)

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1316334527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 REED RD SE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021335",
            "telephone_number": "503-581-1732",
            "fax_number": "541-686-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012310",
            "telephone_number": "541-344-1121",
            "fax_number": "541-344-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012505",
            "country_code": "US",
            "telephone_number": "541-686-1262",
            "fax_number": "541-686-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKERELL",
        "first_name": "SANDRA",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-26",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5627",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Macfarlane, DO
• Thomas Macha, MD
• Linda Gail Mack
• Donald Q Mackay, D.O.
• Nancy Elizabeth Mackay, MS. CCC-SLP
• Leslie Anne Maclaggan, M.P.T.
• Tala Amara Macluan, LMT
• Carmen Marie Macmillan, LPC
• Sophia Macmillan, LMT
• Moira Colleen Macnair, RN

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.