Geunia Funches

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11732 Issued in OR

Practice address

606 Medical Parkway
Enterprise, OR 97828

Phone

(541) 426-4524

NPI assigned

Feb 2, 2017

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OR2 enrollments

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 2

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 WellnessGroup PAC ID 0143228536, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wallowa Valley Center for Wellness

  • Community/Behavioral Health Agency
  • Enterprise, OR
  • NPI 1043249907
  Medicare reassignment Care Compare group NPD
• MB Counseling LLC

  • Clinical Social Worker
  • La Grande, OR
  • NPI 1457031452
  Medicare reassignment NPD
• Exceedingly Abundantly Above Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forney, TX
  • NPI 1417789256
  NPD Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1891233409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978280268",
            "telephone_number": "541-426-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MEDICAL PARKWAY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "97828",
            "telephone_number": "541-426-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 S Hill St",
            "address_2": "Suite H-375",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900152212",
            "country_code": "US",
            "telephone_number": "213-821-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Pinson Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751269774",
            "country_code": "US",
            "telephone_number": "469-887-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNCHES",
        "first_name": "GEUNIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105002",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11129",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "26349-C",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-22-2105",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Farrington Graham, M.A.
• Jason Adam Follett, DMD
• Kate Forster, QMHA
• Frontier Family Medicine PC
• Kelly Grace Fuller, RDH
• Catherine Kristine Galvan, RN
• Talia Galvin
• Sven Martin Simonne Geirnaert
• Zhenda Glover
• Sandra Kaye Gore, QMHP, CADC II

• Clinical Social Worker in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.