Active NPI
Adam Tyrone Cassell, A.A.
- Counselor
- Eugene, OR
National Provider Identifier
1780968552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 93-0605174
- Practice address
- 550 River Rd
Eugene, OR 97404-3212 - Phone
- (541) 743-2611
- NPI assigned
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 93-0605174 | OR | Primary |
Addresses
Primary practice location
550 River Rd
Eugene, OR 97404-3212
Mailing address
120 F St Apt 4
Springfield, OR 97477-3920
Phone (541) 736-5926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93-0605174 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1780968552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 F ST APT 4",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974773920",
"telephone_number": "541-736-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043212",
"telephone_number": "541-743-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSELL",
"first_name": "ADAM",
"middle_name": "TYRONE",
"name_prefix": "Mr.",
"credential": "A.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "93-0605174",
"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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.