Individual provider Active NPI

Lonny Ray Bevill Sr., MFT

  • Marriage & Family Therapist
  • Albany, OR
National Provider Identifier
1518256189
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0563 Issued in OR
Practice address
2817 Santiam Hwy SE
Albany, OR 97322-5254
Phone
(541) 905-5423
NPI assigned
Apr 4, 2011
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0563 OR Primary
Marriage & Family Therapist 106H00000X 27681 CA

Addresses

Primary practice location

2817 Santiam Hwy SE
Albany, OR 97322-5254

Mailing address

PO Box 3068
Albany, OR 97321-0701
Phone (541) 905-5423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27681CAMDClinical Psychologist
T0563ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1518256189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210701",
            "telephone_number": "541-905-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SANTIAM HWY SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225254",
            "telephone_number": "541-905-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILL",
        "first_name": "LONNY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0563",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "27681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.