Eye to Eye Counseling and Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EYE TO EYE COUNSELING AND THERAPY LLC

Practice address

980 SW 6TH St Ste 19a
Grants Pass, OR 97526-2910

Phone

(541) 476-7688

Fax

(541) 476-7688

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Tamara Melissa Ulrey, LCSWNPI 1952605115

Title

Owner

Phone

(541) 621-1487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Tamara Melissa Ulrey, LCSW

  • Clinical Social Worker
  • Grants Pass, OR
  • NPI 1952605115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1942962782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SW 6TH ST STE 19A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262910",
            "telephone_number": "541-476-7688",
            "fax_number": "541-476-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SW 6TH ST STE 19A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262910",
            "telephone_number": "541-476-7688",
            "fax_number": "541-476-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TO EYE COUNSELING AND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "ULREY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-621-1487",
        "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": []
}

• Jacqueline Michelle Evans
• James Dean Evans, RPH
• Timothy Warren Evans, R.PH., M.S.
• Evolve Counseling & Neurofeedback Center Inc
• Eye Care Group of Southern Oregon, LLC
• Eyeglass Center
• Agnes Olaolu Ezekiel, PMHNP-BC
• Matthew Allyn Fagert, CRNA
• Susan R Fahey, MSN
• Daniela Falcone, NP

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.