Individual provider Active NPI

Kal Ilyo Duval

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1558054155
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2149 Centennial PLZ Ste 4
Eugene, OR 97401-2456
Phone
(541) 741-7107
Fax
(541) 687-9279
NPI assigned
May 30, 2023
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2149 Centennial PLZ Ste 4
Eugene, OR 97401-2456

Mailing address

78A Centennial Loop
Eugene, OR 97401
Phone (541) 741-7107

Other names 1

  • Kimberly Loren Alberon Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Counseling and Education Services Inc. Mental Health CurrentSince Jan 19, 2025 Accepting new patients
Columbiacare Services PastSince Jun 1, 2023 Accepting new patients

Locations

78 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 302-6035

2149 Centennial Plz
Ste 4
Eugene, OR 97401
Phone (541) 741-7107

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1558054155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78A CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-741-7107",
            "fax_number": "541-687-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 CENTENNIAL PLZ STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012456",
            "telephone_number": "541-741-7107",
            "fax_number": "541-687-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "KAL",
        "middle_name": "ILYO",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ALBERON",
            "middle_name": "LOREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 21, 2025; 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.