Gary Neal Reiss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L0746 Issued in OR

Practice address

412 W 17TH Ave
Eugene, OR 97401-3869

Phone

(541) 686-8060

Fax

(541) 686-6647

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cottage Grove Counseling Clinic, Inc.

  • Mental Health Counselor
  • Cottage Grove, OR
  • NPI 1023138088
  NPD (past) Authorized official
• Rivers Way Training Clinic

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1619599636
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588719595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013869",
            "telephone_number": "541-686-8060",
            "fax_number": "541-686-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013869",
            "telephone_number": "541-686-8060",
            "fax_number": "541-686-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "GARY",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L0746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha M Reilly, MD
• Loren Scott Reimers, O.D.
• Jean Reinhardt, RPT
• Kristen Reinhardt, M.S.
• Donna R Reishus, RN
• Olivia Pearl Reiter
• Reliant Behavioral Health LLC
• Relief Nursery, Inc.
• Remember the Moon, LLC
• Vanessa Remhof

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.