Individual provider Active NPI

Dawna Renee Willoughby-Roberts

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1508567967
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C8386 Issued in OR
Practice address
2145 Rocky LN
Eugene, OR 97401-7431
Phone
(541) 517-9137
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C8386 OR Primary

Addresses

Primary practice location

2145 Rocky LN
Eugene, OR 97401-7431

Mailing address

66 Club Rd Ste 310
Eugene, OR 97401-2420
Phone (541) 517-9137

Other practice location 1

2145 Rocky Ln
Eugene, OR 97401-7431
Phone (541) 517-9137

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
I20250317003448 OR Practitioner - Mental Health Counselor 5294257473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin and Associated PractitionersGroup PAC ID 4385180405, 13 clinicians

Practice addresses (Care Compare)

66 Club Rd
Suite 350
Eugene, OR 97401-2599
Phone (541) 343-1728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin & Associated Practitioners Mental Health CurrentSince Mar 6, 2025 Accepting new patients
Griffin & Associated Practitioners Mental Health PastSince Mar 6, 2025 Accepting new patients

Locations

66 Club Rd
Ste 350
Eugene, OR 97401
Phone (541) 343-1728

911 Country Club Rd
Ste 270
Eugene, OR 97401
Phone (541) 343-1728

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1508567967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CLUB RD STE 310",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012420",
            "telephone_number": "541-517-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 ROCKY LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017431",
            "telephone_number": "541-517-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 Rocky Ln",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974017431",
            "country_code": "US",
            "telephone_number": "541-517-9137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOUGHBY-ROBERTS",
        "first_name": "DAWNA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.