Organization Active NPI

Centro Latino Americano

  • Addiction (Substance Use Disorder) Counselor
  • Eugene, OR
National Provider Identifier
1477332690
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CENTRO LATINO AMERICANO
Practice address
944 W 5TH Ave
Eugene, OR 97402-5106
Phone
(541) 687-2667
NPI assigned
Sep 26, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Jose Alfredo Marquez Alonso, CADC-R
Title
Counselor
Phone
(541) 697-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

944 W 5TH Ave
Eugene, OR 97402-5106

Mailing address

944 W 5TH Ave
Eugene, OR 97402-5106
Phone (541) 687-2667

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": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1477332690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 W 5TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025106",
            "telephone_number": "541-687-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 W 5TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025106",
            "telephone_number": "541-687-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO LATINO AMERICANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ ALONSO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "541-697-2667",
        "authorized_official_credential": "CADC-R"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "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 2, 2023; 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.