NPIMap

Organization Active NPI

Liberated Spirit, LLC

  • Acupuncturist
  • Eugene, OR
National Provider Identifier
1619494424
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC169614 Issued in OR
Legal business name
LIBERATED SPIRIT, LLC
Practice address
1077 Chambers St
Eugene, OR 97402-3706
Phone
(541) 972-2837
Fax
(541) 505-9306
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Dr. Erin Rose Fussy, DACM, LAC, LMTNPI 1043627334
Title
Owner
Phone
(718) 306-2887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC169614 OR Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 20855 OR

Addresses

Primary practice location

1077 Chambers St
Eugene, OR 97402-3706

Mailing address

1077 Chambers St
Eugene, OR 97402-3706
Phone (541) 972-2837

National Provider Directory

National Provider Directory

Locations

1077 Chambers St
Eugene, OR 97402

1200 High St
Ste 150
Eugene, OR 97401
Phone (541) 345-9928

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1619494424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023706",
            "telephone_number": "541-972-2837",
            "fax_number": "541-505-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023706",
            "telephone_number": "541-972-2837",
            "fax_number": "541-505-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATED SPIRIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "FUSSY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-306-2887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169614",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20855",
            "primary": false
        }
    ],
    "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 Jul 21, 2026; 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.