Individual provider Active NPI

John Santin, LPC

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1831719012
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7314 Issued in OR
Practice address
2440 Willamette St Ste 201
Eugene, OR 97405-3170
Phone
(541) 321-2278
Fax
(541) 246-8826
NPI assigned
Apr 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C7314 OR Primary

Addresses

Primary practice location

2440 Willamette St Ste 201
Eugene, OR 97405-3170

Mailing address

1075 Washington St
Eugene, OR 97401-4606
Phone (541) 321-8244

Other practice location 1

1234 Pearl St
Eugene, OR 97401-3642
Phone (541) 653-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207003640 OR Practitioner - Mental Health Counselor 6305289208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Counseling Service LLCGroup PAC ID 5496104473, 22 clinicians

Practice addresses (Care Compare)

2440 Willamette St
Suite 201
Eugene, OR 97405-3170
Phone (541) 321-2278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Counseling Service, LLC. Dba Northlight Counseling CurrentSince Jan 1, 2024 Accepting new patients

Locations

1075 Washington St
Eugene, OR 97401
Phone (541) 321-2278

2440 Willamette St
Ste 201
Eugene, OR 97405
Phone (541) 234-3090

3085 River Rd N
Salem, OR 97303
Phone (541) 321-2278

Organizations & group practices 1

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1831719012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WASHINGTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014606",
            "telephone_number": "541-321-8244",
            "fax_number": "541-246-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WILLAMETTE ST STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053170",
            "telephone_number": "541-321-2278",
            "fax_number": "541-246-8826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013642",
            "country_code": "US",
            "telephone_number": "541-653-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIN",
        "first_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.