Evergreen Therapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EVERGREEN THERAPY LLC

Practice address

1245 Pearl St Ste 208
Eugene, OR 97401-3564

Phone

(541) 279-2245

Fax

(541) 804-7380

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Reyes, LMFTNPI 1629485560

Title

LMFT

Phone

(541) 399-4411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Reyes, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
  • NPI 1629485560
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1891306973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 W 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013008",
            "telephone_number": "541-279-2245",
            "fax_number": "541-804-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 PEARL ST STE 208",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013564",
            "telephone_number": "541-279-2245",
            "fax_number": "541-804-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "541-399-4411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark B Evans, PH.D.
• Renee Jessica Evans
• Savannah Philips Ross Evans
• Evergreen Eyewear
• Evergreen Opco LLC
• Iryna V Ewbank
• James A Ewell, PH.D.
• James Alfred Ewell Jr.
• Shalamar Ewing
• Thomas N Ewing, M.D.

• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.