Active NPI
Mackenzie Rich, CHW
- Community Health Worker
- Eugene, OR
National Provider Identifier
1316717861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- THW000109818
- Practice address
- 1200 Hilyard St Ste 510
Eugene, OR 97401-8150 - Phone
- (458) 205-7131
- NPI assigned
- Jan 5, 2024
- Last updated
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | ||
| Community Health Worker | 172V00000X | THW000109818 | OR | Primary |
| Peer Specialist | 175T00000X | 109818 | OR |
Addresses
Primary practice location
1200 Hilyard St Ste 510
Eugene, OR 97401-8150
Mailing address
1814 L St Apt 2
Springfield, OR 97477-3491
Phone (541) 460-8622
Other practice location 1
1200 Hilyard St Ste 450
Eugene, OR 97401-8164
Phone (458) 205-7131
Other practice location 2
1200 Hilyard St Ste 430
Eugene, OR 97401-8161
Phone (458) 205-6530
Other practice location 3
1200 Hilyard St Ste 310
Eugene, OR 97401-8122
Phone (458) 205-6709
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000109818 | OR | MD | Community Health Worker |
| 109818 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1316717861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 L ST APT 2",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974773491",
"telephone_number": "541-460-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST STE 510",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018150",
"telephone_number": "458-205-7131"
}
],
"practiceLocations": [
{
"address_1": "1200 Hilyard St Ste 450",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018164",
"country_code": "US",
"telephone_number": "458-205-7131",
"fax_number": "458-205-7061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Hilyard St Ste 430",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018161",
"country_code": "US",
"telephone_number": "458-205-6530",
"fax_number": "458-205-6534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Hilyard St Ste 310",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018122",
"country_code": "US",
"telephone_number": "458-205-6709",
"fax_number": "458-205-6708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICH",
"first_name": "MACKENZIE",
"credential": "CHW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "THW000109818",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "109818",
"primary": false
}
],
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.