Individual provider Active NPI

Erica Lynn Mayo Townsend

  • Counselor
  • Eugene, OR
National Provider Identifier
1447836382
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C8251 Issued in OR
Practice address
1445 Willamette St Ste 3
Eugene, OR 97401-4087
Phone
(541) 234-3090
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Counselor 101Y00000X C8251 OR Primary

Addresses

Primary practice location

1445 Willamette St Ste 3
Eugene, OR 97401-4087

Mailing address

1445 Willamette St Ste 3
Eugene, OR 97401-4087
Phone (541) 234-3090

Other practice location 1

1258 High St
Eugene, OR 97401-3238
Phone (541) 342-8437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212000467 OR Practitioner - Mental Health Counselor 6204362346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fjord Counseling LLCGroup PAC ID 1658711015, 8 clinicians

Practice addresses (Care Compare)

2440 Willamette St
Suite 202
Eugene, OR 97405-3170
Phone (541) 234-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C8251ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fjord Counseling LLC CurrentSince Oct 10, 2024 Accepting new patients
Center for Family Development, Inc. Addiction (Substance Use Disorder) PastSince Mar 1, 2021 Accepting new patients
Arise Counseling Service, LLC. Dba Northlight Counseling PastSince Aug 2, 2020 Accepting new patients
Center for Family Development, Inc. Addiction (Substance Use Disorder) PastSince Mar 1, 2021 Accepting new patients

Locations

2440 Willamette St
Ste 202
Eugene, OR 97405
Phone (541) 234-3090

1445 Willamette St
Ste 3
Eugene, OR 97401
Phone (541) 286-5455

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 4

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1447836382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WILLAMETTE ST STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014087",
            "telephone_number": "541-234-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WILLAMETTE ST STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014087",
            "telephone_number": "541-234-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1258 High St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013238",
            "country_code": "US",
            "telephone_number": "541-342-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "ERICA",
        "middle_name": "LYNN MAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C8251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.