Brandon Marshall, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C5153 Issued in OR

Practice address

400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452

Phone

(541) 912-8591

Fax

(541) 735-3182

NPI assigned

Jan 21, 2019

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• NW Therapy Collective LLC

  dba Brandon Marshall

  • Professional Counselor
  • Eugene, OR
  • NPI 1114560323
  NPD Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1750855094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND AVE STE 104E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012452",
            "telephone_number": "541-912-8591",
            "fax_number": "541-735-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND AVE STE 104E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012452",
            "telephone_number": "541-912-8591",
            "fax_number": "541-735-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BRANDON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Marsden
• Denise Leann Marsh
• Emma Grace Marsh
• Ivy Rose Marsh, LCSW
• Austin Taylor Marshall
• Elliot Chapman Marston, BSW
• Nathan Mart, CADC II
• Amber Jo Martell, LCSW
• Dianne T Martin Morley, PT
• Adrienne Hillary Martin-Anderson

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.