Donald Allen Erickson, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4588 Issued in OR

Practice address

511 E 12TH Ave
Eugene, OR 97401-3608

Phone

(541) 636-7875

NPI assigned

Feb 23, 2018

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

Credentials

Master of Arts

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 and National Provider Directory roles.

• Dke Consulting, LLC

  • Professional Counselor
  • Salem, OR
  • NPI 1083116339
  NPD Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1861993966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CRAFTSMAN WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974085005",
            "telephone_number": "541-636-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013608",
            "telephone_number": "541-636-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "DONALD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard R. Epstein, PH.D.
• Equinox Clinics LLC
• Erica L Hernandez LCSW, LLC
• Erica L Hernandez, LCSW, LLC
• Daniel James Erickson, DDS
• Laurie Ann Erickson, T.H.W & M.A.I.S.
• Robin Dell Erickson, ND, LMT
• Justin Ericson
• Mary-Alice Rodstrom Ernst, A.N.P.
• Maria Erskine, LMT

• 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 Feb 23, 2018; 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.