Organization Active NPI

Kristen Leighanne Curtis LCSW LLC

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1942860408
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KRISTEN LEIGHANNE CURTIS LCSW LLC
Practice address
171 Lawrence St
Eugene, OR 97401-2221
Phone
(458) 209-4272
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Kristen Leighanne Curtis, LCSWNPI 1801148986
Title
Owner
Phone
(458) 209-4272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

171 Lawrence St
Eugene, OR 97401-2221

Mailing address

PO Box 12244
Eugene, OR 97440-4444
Phone (458) 209-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190724000459 OR Part B Supplier - Clinic/Group Practice 4082940432 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1942860408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12244",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974404444",
            "telephone_number": "458-209-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012221",
            "telephone_number": "458-209-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN LEIGHANNE CURTIS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LEIGHANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "458-209-4272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.