Organization Active NPI

Riisa Humphrey

Doing business as Divine Mental Health and Wellness Counseling

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1730922634
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RIISA HUMPHREY
Doing business as
Divine Mental Health and Wellness Counseling
Practice address
1142 Willagillespie Rd Ste 22
Eugene, OR 97401-6723
Phone
(541) 970-1970
NPI assigned
Jun 17, 2024
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Mrs. Riisa Lea Humphrey, MA, LPC, NCCNPI 1578912580
Title
Owner/Therapist
Phone
(541) 505-2100

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1142 Willagillespie Rd Ste 22
Eugene, OR 97401-6723

Mailing address

1142 Willagillespie Rd Ste 22
Eugene, OR 97401-6723
Phone (541) 970-1970

Other names 1

  • Divine Mental Health and Wellness Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1142 Willagillespie Rd
Ste 22
Eugene, OR 97401
Phone (541) 505-2100

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1730922634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 WILLAGILLESPIE RD STE 22",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016723",
            "telephone_number": "541-970-1970",
            "fax_number": "458-223-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 WILLAGILLESPIE RD STE 22",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016723",
            "telephone_number": "541-970-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIISA HUMPHREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "RIISA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "541-505-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Mental Health and Wellness Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 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.