Individual provider Active NPI

Michelle J.G. Perin-Callahan, MS

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1932648359
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
341 E 12TH Ave
Eugene, OR 97401-3212
Phone
(541) 342-8255
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 144476 OR
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

341 E 12TH Ave
Eugene, OR 97401-3212

Mailing address

37875 Jasper Lowell Rd.
Jasper, OR 97438
Phone (541) 747-1235

Other practice location 1

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone (541) 747-1235

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
144476ORMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Mountain Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1932648359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37875 JASPER LOWELL RD.",
            "city": "JASPER",
            "state": "OR",
            "postal_code": "97438",
            "telephone_number": "541-747-1235",
            "fax_number": "541-747-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013212",
            "telephone_number": "541-342-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37875 Jasper Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "OR",
            "postal_code": "974389751",
            "country_code": "US",
            "telephone_number": "541-747-1235",
            "fax_number": "541-747-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERIN-CALLAHAN",
        "first_name": "MICHELLE",
        "middle_name": "J.G.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OR",
            "license": "144476",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 27, 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.