Active NPI
Celia Caffery
- Mental Health Counselor
- Coburg, OR
National Provider Identifier
1356022545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 23-QMHA-R-4152
- Practice address
- 1 Serenity LN
Coburg, OR 97408-9350 - Phone
- (541) 283-1521
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 23-QMHA-R-4152 | OR | Primary |
Addresses
Primary practice location
1 Serenity LN
Coburg, OR 97408-9350
Mailing address
404 Heritage Oaks Dr
Eugene, OR 97405-4029
Phone (413) 522-5607
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 |
|---|---|---|---|
| 23-QMHA-R-4152 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1356022545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HERITAGE OAKS DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974054029",
"telephone_number": "413-522-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SERENITY LN",
"city": "COBURG",
"state": "OR",
"postal_code": "974089350",
"telephone_number": "541-283-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAFFERY",
"first_name": "CELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "23-QMHA-R-4152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.