Active NPI
Brian Sorrells
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1881847432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T0448
- Practice address
- 3575 Donald St Ste 650
Eugene, OR 97405-4784 - Phone
- (541) 556-7652
- Fax
- (855) 411-7888
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 96-10-74 | OR | |
| Mental Health Counselor | 101YM0800X | T0448 | OR | Primary |
Addresses
Primary practice location
3575 Donald St Ste 650
Eugene, OR 97405-4784
Mailing address
640 W 27TH PL
Eugene, OR 97405-2237
Phone (541) 556-7652
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0448 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1881847432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W 27TH PL",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052237",
"telephone_number": "541-556-7652",
"fax_number": "855-411-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 DONALD ST STE 650",
"city": "EUGENE",
"state": "OR",
"postal_code": "974054784",
"telephone_number": "541-556-7652",
"fax_number": "855-411-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELLS",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "96-10-74",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "T0448",
"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 Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.