Individual provider Active NPI

Lisa Carlson, M. ED.

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1831485283
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1001 Washington St Ste 6
Eugene, OR 97401-3419
Phone
(541) 912-1040
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1001 Washington St Ste 6
Eugene, OR 97401-3419

Mailing address

1711 Willamette St.
Ste 301, PMB 177
Eugene, OR 97401
Phone (541) 912-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Carlson Marriage & Family Therapist CurrentSince Dec 22, 2019 Accepting new patients
Lisa Carlson, LMFT, LLC Marriage & Family Therapist CurrentSince Mar 12, 2024 Accepting new patients
Addiction Counseling and Education Services Inc. PastSince Mar 30, 2026 Accepting new patients

Locations

1430 Willamette St
#177
Eugene, OR 97401

1001 Washington St
Ste 6
Eugene, OR 97401
Phone (541) 912-1040

1711 Willamette St
Ste 301
Eugene, OR 97401
Phone (208) 596-6910

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1831485283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST.",
            "address_2": "STE 301, PMB 177",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-912-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WASHINGTON ST STE 6",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013419",
            "telephone_number": "541-912-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LISA",
        "credential": "M. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.