Individual provider Active NPI

Rand Glen Hunt, M.S.

  • Mental Health Counselor
  • Coquille, OR
National Provider Identifier
1619305273
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6025 Issued in OR
Practice address
222 E 2ND St # 4
Coquille, OR 97423-1864
Phone
(541) 824-0990
Fax
(541) 824-0991
NPI assigned
Oct 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C6025 OR Primary
Professional Counselor 101YP2500X 71440 TX

Addresses

Primary practice location

222 E 2ND St # 4
Coquille, OR 97423-1864

Mailing address

222 E 2ND St # 4
Coquille, OR 97423-1864
Phone (541) 824-0990

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C6025ORMDMental Health Counselor
71440TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Breeze, LLC Mental Health Current Accepting new patients
Gentle Breeze Counseling, LLC Mental Health CurrentSince Mar 4, 2021 Accepting new patients

Locations

222 E 2nd St
#4
Coquille, OR 97423
Phone (541) 824-0990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1619305273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 2ND ST # 4",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231864",
            "telephone_number": "541-824-0990",
            "fax_number": "541-824-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 2ND ST # 4",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231864",
            "telephone_number": "541-824-0990",
            "fax_number": "541-824-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "RAND",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6025",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coquille, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.