Active NPI
Rebecca Fuller and Associates
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1720612963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REBECCA FULLER AND ASSOCIATES
- Practice address
- 1901 Garden Ave Ste 213
Eugene, OR 97403-1934 - Phone
- (541) 579-8644
- Fax
- (541) 855-0130
- NPI assigned
- Feb 26, 2020
- Last updated
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca S Fuller, MA, LPC
- Title
- Owner
- Phone
- (541) 579-8644
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1901 Garden Ave Ste 213
Eugene, OR 97403-1934
Mailing address
1945 Harvey Rd
Cottage Grove, OR 97424-1286
Phone (503) 803-4867
National Provider Directory
National Provider DirectoryLocations
1901 Garden Ave
Ste 213
Eugene, OR 97403
Phone (541) 579-8644
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Eugene, OR
- NPI 1013548213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1720612963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 HARVEY RD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974241286",
"telephone_number": "503-803-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 GARDEN AVE STE 213",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031934",
"telephone_number": "541-579-8644",
"fax_number": "541-855-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA FULLER AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-579-8644",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"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 Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.