Shannon Jeannette Eivers

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-22-1536 Issued in OR

Practice address

605 W 4TH Ave
Eugene, OR 97402-5022

Phone

(541) 762-4575

NPI assigned

Apr 11, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wfts/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willamette Family, Inc

  • Substance Abuse Rehabilitation Facility
  • Eugene, OR
  • NPI 1376546291

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1710629589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 CHESHIRE AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025060",
            "telephone_number": "541-684-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W 4TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025022",
            "telephone_number": "541-762-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIVERS",
        "first_name": "SHANNON",
        "middle_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-22-1536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Oliver Einri, RN
• Katherine Aoife Einri
• Josephine Rae Einsel
• Tami R Eisaman, PT
• Emily Eismann
• Ek Counseling Consulting and Training LLC (Konnections)
• Jon E Ekstrom, MD
• Oluwafemi Kamil Ekungba
• Suma Z Elan, LCSW
• Henry Irwin Elder, MD

• Addiction (Substance Use Disorder) Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.