Individual provider Active NPI

Kimberly June Metheny, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1497292718
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17563 Issued in OR
Practice address
360 E 10TH Ave Ste 308
Eugene, OR 97401-3687
Phone
(833) 646-3633
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L17563 OR Primary

Addresses

Primary practice location

360 E 10TH Ave Ste 308
Eugene, OR 97401-3687

Mailing address

360 E 10TH Ave Ste 308
Eugene, OR 97401-3687
Phone (833) 646-3633

Other names 1

  • Kimberly June Humiston Former name

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
I20260311003057 OR Practitioner - Clinical Social Worker 7517440175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Colorado School of Medicine, Denver, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14686 Blue Wings Way
Colorado Springs, CO 80921-4806

PO Box
Monument, CO 80132

PO Box
Suite 208
Monument, CO 80132-0208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11358ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Northwest Recovery CurrentSince Apr 9, 2024 Accepting new patients
Lonerock Clinic LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

1776 Millrace Dr
Ste 202
Eugene, OR 97403
Phone (541) 203-0539

1307 Lincoln St
Eugene, OR 97401
Phone (541) 285-1903

360 E 10th Ave
Ste 308
Eugene, OR 97401
Phone (208) 720-3948

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFFGDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1497292718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 10TH AVE STE 308",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013687",
            "telephone_number": "833-646-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 10TH AVE STE 308",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013687",
            "telephone_number": "833-646-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENY",
        "first_name": "KIMBERLY",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HUMISTON",
            "middle_name": "JUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.