Organization Active NPI

Carole Bekkenhuis-Johnson

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1528176377
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
092006533N6PMHNPPP Issued in OR
Legal business name
CAROLE BEKKENHUIS-JOHNSON
Doing business as
Carole Bekkenhuis-Johnson PMHNP LLC
Practice address
3225 Williamette St
Suite 3
Eugene, OR 97405
Phone
(541) 684-4700
Fax
(541) 684-4700
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Carole Bekkenhuis-Johnson, PMHNP LLC
Title
Owner
Phone
(541) 684-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 092006533N6PMHNPPP OR Primary

Addresses

Primary practice location

3225 Williamette St
Suite 3
Eugene, OR 97405

Mailing address

3225 Williamette St
Suite 3
Eugene, OR 97405
Phone (541) 684-4700

Other names 1

  • Carole Bekkenhuis-Johnson PMHNP LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3225 Willamette St
Ste 3
Eugene, OR 97405
Phone (541) 513-1971

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1528176377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLIAMETTE ST",
            "address_2": "SUITE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-684-4700",
            "fax_number": "541-684-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLIAMETTE ST",
            "address_2": "SUITE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-684-4700",
            "fax_number": "541-684-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE BEKKENHUIS-JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BEKKENHUIS-JOHNSON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-684-4700",
        "authorized_official_credential": "PMHNP LLC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "092006533N6PMHNPPP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carole Bekkenhuis-Johnson PMHNP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 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.