Individual provider Active NPI

Kathryn Simpson Snell-Ryan, LPC

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1356536155
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2827 Issued in OR
Practice address
180 W 12TH Ave
Eugene, OR 97401
Phone
(541) 852-7440
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2827 OR Primary

Addresses

Primary practice location

180 W 12TH Ave
Eugene, OR 97401

Mailing address

3250 Whitten Dr
Eugene, OR 97405-2390
Phone (541) 852-7440

Other practice location 1

201 23rd Ave N
Nashville, TN 37203-1501
Phone (615) 327-0833 ext. 130

Other practice location 2

1215 SW G St
Grants Pass, OR 97526-2544
Phone (541) 476-2373

Other practice location 3

201 23rd Ave N
Nashville, TN 37203-1501
Phone (615) 327-0833 ext. 130

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

LicenseStateTypeSpecialty
C2827ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Sky Counseling Professional Current Accepting new patients

Locations

180 W 12th Ave
Eugene, OR 97401
Phone (541) 505-3201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1356536155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WHITTEN DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052390",
            "telephone_number": "541-852-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-852-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 23rd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031501",
            "country_code": "US",
            "telephone_number": "615-327-0833 x130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 SW G St",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975262544",
            "country_code": "US",
            "telephone_number": "541-476-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 23rd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031501",
            "country_code": "US",
            "telephone_number": "615-327-0833 x130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELL-RYAN",
        "first_name": "KATHRYN",
        "middle_name": "SIMPSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2827",
            "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 Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.