Mitchell Ryan McDonald, CSWA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

260 E 11TH Ave
Eugene, OR 97401-3247

Phone

(541) 484-4428

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1700352127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 W 11TH AVE STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013247",
            "telephone_number": "541-484-4428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Centennial Loop",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012443",
            "country_code": "US",
            "telephone_number": "541-505-8426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MITCHELL",
        "middle_name": "RYAN",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C McDannald, DPM
• Edward McDonald
• Jane E McDonald, M.A.,CCC SLP
• L. Kay McDonald, MA
• Lannen Edward McDonald, EDD PC
• Suzanne McDonald, LMFT
• Timothy John McDonald, PT, ATC
• Kendyl Michelle McDonough, MS, RD, RDN
• Adora McDougal, RN, BSN, BS
• Nicole McElderry

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.