Individual provider Active NPI

Kimberly Moorhead, PSYD, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1669113072
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T3191 Issued in OR
Practice address
132 E Broadway Ste 431
Eugene, OR 97401-3158
Phone
(541) 390-4559
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 T3191 OR Primary

Addresses

Primary practice location

132 E Broadway Ste 431
Eugene, OR 97401-3158

Mailing address

4175 E Amazon Dr
Eugene, OR 97405-4660
Phone (541) 600-4441

Other practice location 1

4175 E Amazon Dr
Eugene, OR 97405-4660
Phone (541) 600-4441

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

State licenses

LicenseStateTypeSpecialty
T3191ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Valley Behavioral Health Marriage & Family Therapist Past Accepting new patients

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1669113072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 E AMAZON DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054660",
            "telephone_number": "541-600-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 431",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013158",
            "telephone_number": "541-390-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 E Amazon Dr",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974054660",
            "country_code": "US",
            "telephone_number": "541-600-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3191",
            "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 26, 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.