Active NPI
Eppinger Wellness LLC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1952129009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EPPINGER WELLNESS LLC
- Practice address
- 3123 SE 31St Ave Apt a
Portland, OR 97202-1981 - Phone
- (410) 693-4061
- NPI assigned
- Sep 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline M Eppinger
- Title
- Licensed Marriage and Family Therap
- Phone
- (410) 693-4061
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3123 SE 31St Ave Apt a
Portland, OR 97202-1981
Mailing address
2355 State St # 101
Salem, OR 97301-4541
Phone (424) 273-5925
National Provider Directory
National Provider DirectoryPractitioners & 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": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1952129009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 STATE ST # 101",
"city": "SALEM",
"state": "OR",
"postal_code": "973014541",
"telephone_number": "424-273-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 SE 31ST AVE APT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021981",
"telephone_number": "410-693-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPPINGER WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "EPPINGER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
"authorized_official_telephone_number": "410-693-4061"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.