Emerald Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMERALD BEHAVIORAL HEALTH LLC

Practice address

1029 River Rd
Eugene, OR 97404-3242

Phone

(541) 224-7585

NPI assigned

Sep 3, 2021

Last updated

Dec 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maegan D Mexicotte, LPCNPI 1184903742

Title

Owner

Phone

(541) 224-7563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 7

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.

• Maegan D Mexicotte, M.S.

  • Professional Counselor
  • Eugene, OR
  • NPI 1184903742

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Elizabeth Klein

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1174276364
  Medicare reassignment Care Compare group NPD
• Kelsie Marie Wells, MA, LPC

  • Professional Counselor
  • Jefferson, OR
  • NPI 1649514639

  Mental Health

  Medicare reassignment Care Compare group NPD
• Madison E Heuertz McFall, LPC

  • Counselor
  • Eugene, OR
  • NPI 1578036158

  Mental Health

  Medicare reassignment NPD
• Jennifer Crystal Cort

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1346086394
  NPD (past)
• Mathew Alan Mexicotte

  • Peer Specialist
  • Eugene, OR
  • NPI 1215772348
  NPD (past)
• Amber D Nascimento

  • Student in an Organized Health Care Education/Training Program
  • Springfield, OR
  • NPI 1639884158

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1598433443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "541-224-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "541-224-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "MEXICOTTE",
        "authorized_official_first_name": "MAEGAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-224-7563",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Grace Emberlin, PAC, M.S.
• Julie M Embree, PT
• Mallory Embrey
• Orion Emelio
• Emerald Acupuncture Center
• Emerald Denture Center Inc (Rustys Denture Clinic)
• Emerald Medical Services, LLC
• Emerald Sleep Disorders Center
• Emerald Sleep Disorders Center, LLC (Eugene Sleep Disorders Center)
• Emerald TMS, LLC

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.