Organization Active NPI

Heidi C. Schelling, PHD, Licsw, Psychotherapy Services, LLC

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1962800797
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW6117 Issued in OR
Legal business name
HEIDI C. SCHELLING, PHD, LICSW, PSYCHOTHERAPY SERVICES, LLC
Practice address
541 Willamette St
Suite # 307D
Eugene, OR 97401
Phone
(612) 224-4000
Fax
(651) 756-8151
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Ms. Heidi Christine Schelling, PHD, LCSW
Title
Owner
Phone
(612) 224-4000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW6117 OR Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 23167 MN
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 19949 CA

Addresses

Primary practice location

541 Willamette St
Suite # 307D
Eugene, OR 97401

Mailing address

251 Willamette St.
Suite 307D
Eugene, OR 97401
Phone (612) 224-4000

Other identifiers 1

IdentifierTypeStateIssuer
1427095215OtherCANPI

Other names 1

  • Heidi C Schelling Phd LICSW Doing business as

National Provider Directory

National Provider Directory

Locations

541 Willamette St
Ste 307D
Eugene, OR 97401
Phone (541) 349-1167

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1962800797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WILLAMETTE ST.",
            "address_2": "SUITE 307D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "612-224-4000",
            "fax_number": "651-756-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST",
            "address_2": "SUITE # 307D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "612-224-4000",
            "fax_number": "651-756-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI C. SCHELLING, PHD, LICSW, PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SCHELLING",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-224-4000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LCSW6117",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19949",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427095215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heidi C Schelling Phd LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2015; 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.