Organization Active NPI

Kara D Myers LCSW LLC

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1396106092
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4887 Issued in OR
Legal business name
KARA D MYERS LCSW LLC
Practice address
511 E 12TH Ave
Eugene, OR 97401-3608
Phone
(541) 514-0393
Fax
(541) 344-7595
NPI assigned
Mar 9, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Kara D Myers, LCSWNPI 1306043252
Title
Sole Owner/Member
Phone
(541) 514-0393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L4887 OR Primary

Addresses

Primary practice location

511 E 12TH Ave
Eugene, OR 97401-3608

Mailing address

511 E 12TH Ave
Eugene, OR 97401-3608
Phone (541) 514-0393

Other identifiers 1

IdentifierTypeStateIssuer
500642282MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1396106092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013608",
            "telephone_number": "541-514-0393",
            "fax_number": "541-344-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013608",
            "telephone_number": "541-514-0393",
            "fax_number": "541-344-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA D MYERS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE OWNER/MEMBER",
        "authorized_official_telephone_number": "541-514-0393",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500642282",
            "state": "OR"
        }
    ],
    "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 Mar 10, 2016; 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.