Individual provider Active NPI

Lisa Hughes-Dykstra, LMFTA

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1609407345
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R7770 Issued in OR
Practice address
132 E Broadway Ste 214
Eugene, OR 97401-3150
Phone
(541) 337-0792
Fax
(541) 275-0841
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X R7770 OR Primary

Addresses

Primary practice location

132 E Broadway Ste 214
Eugene, OR 97401-3150

Mailing address

132 E Broadway Ste 214
Eugene, OR 97401-3150
Phone (541) 337-0792

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251106004878 OR Practitioner - Marriage and Family Therapist 2769972884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

132 E Broadway
Suite 431
Eugene, OR 97401-3158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R7770ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Valley Behavioral Health Marriage & Family Therapist CurrentSince Sep 9, 2025 Accepting new patients

Locations

132 E Broadway
Ste 431
Eugene, OR 97401
Phone (541) 390-4559

132 E Broadway
Ste 214
Eugene, OR 97401
Phone (541) 337-0792

Organizations & group practices 1

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1609407345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 214",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013150",
            "telephone_number": "541-337-0792",
            "fax_number": "541-275-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 214",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013150",
            "telephone_number": "541-337-0792",
            "fax_number": "541-275-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES-DYKSTRA",
        "first_name": "LISA",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R7770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.