Julia Agate
Individual provider Active NPI Mental Health Counselor · Springfield, OR
NPI 1407509284 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1407509284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3995 Marcola Rd
Springfield, OR 97477-7948 - Phone
- (541) 726-1465
- Fax
- (541) 726-5085
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3995 Marcola Rd
Springfield, OR 97477-7948
Mailing address
3995 Marcola Rd
Springfield, OR 97477-7948
Phone (541) 726-1465
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.