Active NPI
Samuel James Vannoy
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1588171102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1006 W 7TH Ave
Eugene, OR 97402-4643 - Phone
- (541) 244-8310
- NPI assigned
- Jan 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | Primary |
Addresses
Primary practice location
1006 W 7TH Ave
Eugene, OR 97402-4643
Mailing address
1006 W 7TH Ave
Eugene, OR 97402-4643
Phone (541) 244-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | OR | LAUREL HILL CENTER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588171102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 W 7TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024643",
"telephone_number": "541-244-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 W 7TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024643",
"telephone_number": "541-244-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNOY",
"first_name": "SAMUEL",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAUREL HILL CENTER",
"identifier": "101YM0800X",
"state": "OR"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.