Well Aware Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WELL AWARE THERAPY, LLC

Practice address

132 E Broadway Ste 323
Eugene, OR 97401-3154

Phone

(541) 972-1145

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Kolten Kennedy, MA

Title

Manager

Phone

(541) 972-1145

Specialties & licenses 1

Addresses

Other names 1

• Well Aware Therapy Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Van Kennedy, MA

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1144994666
  NPD

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1700549250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 323",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-972-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 323",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-972-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL AWARE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KOLTEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-972-1145",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Aware Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy B Welch, MD, DDS
• Corrina Welding
• Jeanette L Welker, RN, FNP
• Kenneth Jay Welker, MD
• Well Aware Integrative Care LLC
• Well Balanced
• Well Balanced Mind
• Kathrin Annette Weller, M.D.
• Melissa Wellington
• Wellmama, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.