Organization Active NPI

Homespun Counseling, LLC

  • Psychologist
  • Corvallis, OR
National Provider Identifier
1407340318
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
989 Issued in OR
Legal business name
HOMESPUN COUNSELING, LLC
Practice address
33055 SE Peoria Rd
Corvallis, OR 97333-2529
Phone
(541) 232-1930
NPI assigned
Jun 15, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTRY COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Leia Hughey, PHDNPI 1497937734
Title
Owner
Phone
(541) 232-1930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 989 OR Primary

Addresses

Primary practice location

33055 SE Peoria Rd
Corvallis, OR 97333-2529

Mailing address

33055 SE Peoria Rd
Corvallis, OR 97333-2529
Phone (541) 232-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620001891 OR Part B Supplier - Clinic/Group Practice 5496000143 Receives reassigned benefits from 1 practitioner
Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory
Part of
Country Counseling LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1407340318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33055 SE PEORIA RD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332529",
            "telephone_number": "541-232-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33055 SE PEORIA RD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332529",
            "telephone_number": "541-232-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESPUN COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTRY COUNSELING",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "HUGHEY",
        "authorized_official_first_name": "LEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-232-1930",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.