Organization Active NPI

Audacious Living Therapy LLC

  • Community/Behavioral Health Agency
  • Eugene, OR
National Provider Identifier
1720934896
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUDACIOUS LIVING THERAPY LLC
Practice address
258 E 10TH Ave
Eugene, OR 97401-3255
Phone
(542) 913-1153
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Morgan Elizabeth Wardwell, LCSWNPI 1194997882
Title
Owner
Phone
(541) 913-1153

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

258 E 10TH Ave
Eugene, OR 97401-3255

Mailing address

32316 Goddard LN
Cottage Grove, OR 97424-9325
Phone (541) 913-1153

National Provider Directory

National Provider Directory

Locations

258 E 10th Ave
Eugene, OR 97401
Phone (541) 687-1134

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1720934896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32316 GODDARD LN",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249325",
            "telephone_number": "541-913-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013255",
            "telephone_number": "542-913-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDACIOUS LIVING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "WARDWELL",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-913-1153",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 10, 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.