Organization Active NPI

Lisa Carlson

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1528606555
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LISA CARLSON
Practice address
1001 Washington St Ste 6
Eugene, OR 97401-3419
Phone
(541) 912-1040
NPI assigned
Dec 20, 2019
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Lisa CarlsonNPI 1831485283
Title
Therapist / Owner
Phone
(541) 912-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1001 Washington St Ste 6
Eugene, OR 97401-3419

Mailing address

1711 Willamette St
Ste 301, PMB 177
Eugene, OR 97401
Phone (541) 912-1040

National Provider Directory

National Provider Directory

Locations

1001 Washington St
Ste 6
Eugene, OR 97401
Phone (541) 912-1040

1430 Willamette St
#177
Eugene, OR 97401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1528606555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST",
            "address_2": "STE 301, PMB 177",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-912-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WASHINGTON ST STE 6",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013419",
            "telephone_number": "541-912-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA CARLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "THERAPIST / OWNER",
        "authorized_official_telephone_number": "541-912-1040"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 2024; 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.