Individual provider Active NPI

Stephanie Raglin, MED LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1619013349
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Phone
(541) 686-6000
NPI assigned
Jan 29, 2007
Last updated
Dec 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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 NU Primary

Addresses

Primary practice location

921 Country Club Rd Ste 222
Eugene, OR 97401-2238

Mailing address

921 Country Club Rd Ste 222
Eugene, OR 97401-2238
Phone (541) 686-6000

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
I20240125004269 OR Practitioner - Marriage and Family Therapist 8022461045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon CurrentSince Jan 1, 2024 Accepting new patients
Christians As Family Advocates PastSince Jan 17, 2018 Accepting new patients

Locations

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-7206

2411 Martin Luther King Jr Blvd
Eugene, OR 97401
Phone (541) 682-3608

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: stephanie.raglin.p1@direct.lanecounty.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1619013349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012238",
            "telephone_number": "541-686-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012238",
            "telephone_number": "541-686-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLIN",
        "first_name": "STEPHANIE",
        "credential": "MED LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.