Individual provider Active NPI

Aaron Earlywine

  • Counselor
  • Eugene, OR
National Provider Identifier
1497378616
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Phone
(541) 686-6000
NPI assigned
May 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2103771 OH
Counselor 101Y00000X C7584 OR
Counselor 101Y00000X Primary

Addresses

Primary practice location

921 Country Club Rd Ste 222
Eugene, OR 97401-2238

Mailing address

921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Phone (541) 686-6000

Other practice location 1

2211 Arbor Blvd
Moraine, OH 45439-1521
Phone (937) 222-9481

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
I20260129003981 OR Practitioner - Mental Health Counselor 7911485099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christians As Family AdvocatesGroup PAC ID 5092949446, 9 clinicians

Practice addresses (Care Compare)

921 Country Club Rd
Suite 222
Eugene, OR 97401-2238
Phone 5416866000558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103771OHMDCounselor
C7584ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christians As Family Advocates CurrentSince Jan 15, 2026 Accepting new patients
Family Service Association PastSince May 22, 2011 Accepting new patients

Locations

921 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 686-6000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/fsadayton/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1497378616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012238",
            "telephone_number": "541-686-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012238",
            "telephone_number": "541-686-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Arbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391521",
            "country_code": "US",
            "telephone_number": "937-222-9481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLYWINE",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2103771",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C7584",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.