Individual provider Active NPI

Tegan Coltra

  • Counselor
  • Eugene, OR
National Provider Identifier
1609311653
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2145 Centennial PLZ
Eugene, OR 97401-2474
Phone
(541) 684-6825
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Counselor 101Y00000X Primary

Addresses

Primary practice location

2145 Centennial PLZ
Eugene, OR 97401-2474

Mailing address

2145 Centennial PLZ
Eugene, OR 97401-2474
Phone (541) 684-6825

Other practice location 1

687 Cheshire Ave
Eugene, OR 97402-5060
Phone (541) 684-4100

Other practice location 2

2655 Martin Luther King Jr Blvd
Eugene, OR 97401-5899
Phone (541) 686-2688

Other practice location 3

2655 Martin Luther King Jr Blvd
Eugene, OR 97401-5899
Phone (541) 686-2688

Other practice location 4

2145 Centennial Plz
Eugene, OR 97401-2474
Phone (541) 684-6825

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1609311653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 CENTENNIAL PLZ",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012474",
            "telephone_number": "541-684-6825",
            "fax_number": "541-684-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 CENTENNIAL PLZ",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012474",
            "telephone_number": "541-684-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "687 Cheshire Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025060",
            "country_code": "US",
            "telephone_number": "541-684-4100",
            "fax_number": "541-684-4156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974015899",
            "country_code": "US",
            "telephone_number": "541-686-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974015899",
            "country_code": "US",
            "telephone_number": "541-686-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 Centennial Plz",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012474",
            "country_code": "US",
            "telephone_number": "541-684-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLTRA",
        "first_name": "TEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "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 17, 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.