Geunia Funches
Individual provider Active NPI Clinical Social Worker · Enterprise, OR
NPI 1891233409 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1891233409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L11732 (OR)
- Practice address
- 606 Medical Parkway
Enterprise, OR 97828 - Phone
- (541) 426-4524
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wallowa Valley Center for Wellness
Practice addresses (Care Compare)
103 Hwy 82
Suite D
Enterprise, OR 97828-6011
Phone (541) 426-4524
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702003760 | TX | Practitioner - Clinical Social Worker | 7012451909 | Practice locations: Forney, TX |
| I20241014004652 | OR | Practitioner - Clinical Social Worker | 7012451909 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-22-2105 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| 26349-C | AR | MD | Clinical Social Worker |
| C11129 | MS | MD | Clinical Social Worker |
| L11732 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MB Counseling LLC | Clinical | Current |
Accepting new patients |
| Exceedingly Abundantly Above Counseling PLLC | Current |
Accepting new patients | |
| Wallowa Valley Center for Wellness | Current |
Accepting new patients |
Locations
103 Highway 82
Ste D
Enterprise, OR 97828
Phone (541) 426-4524
1119 Washington Ave
La Grande, OR 97850
Phone (503) 963-7432
425 Pinson Rd
Ste M
Forney, TX 75126
Phone (469) 212-6565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | OR | ||
| Clinical Social Worker | 1041C0700X | 105002 | TX | |
| Clinical Social Worker | 1041C0700X | C11129 | MS | |
| Clinical Social Worker | 1041C0700X | 26349-C | AR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-22-2105 | OR | |
| Clinical Social Worker | 1041C0700X | L11732 | OR | Yes |
Addresses
Primary practice location
606 Medical Parkway
Enterprise, OR 97828
Mailing address
PO Box 268
Enterprise, OR 97828-0268
Phone (541) 426-4524
Other practice location 1
1149 S Hill St
Suite H-375
Los Angeles, CA 90015-2212
Phone (213) 821-5977
Other practice location 2
425 Pinson Rd Ste M
Forney, TX 75126-9774
Phone (469) 887-6465
Other providers in Enterprise, OR
- Janet Farrington Graham
- Jason Adam Follett
- Kate Forster
- Frontier Family Medicine PC
- Kelly Grace Fuller
- Catherine Kristine Galvan
- Talia Galvin
- Sven Martin Simonne Geirnaert
- Zhenda Glover
- Sandra Kaye Gore
All providers in Enterprise, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.