Organization Active NPI

Dr Brent Horner LLC

  • Counseling Psychologist
  • Eugene, OR
National Provider Identifier
1972031391
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
DR BRENT HORNER LLC
Practice address
132 E Broadway Ste 301
Eugene, OR 97401-3154
Phone
(541) 206-7080
Fax
(888) 978-7650
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brent Peter Horner, PHDNPI 1073905758
Title
Owner
Phone
(541) 206-7080

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

132 E Broadway Ste 301
Eugene, OR 97401-3154

Mailing address

132 E Broadway Ste 301
Eugene, OR 97401-3154
Phone (541) 206-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190926001487 OR Part B Supplier - Clinic/Group Practice 4587994009 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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972031391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-206-7080",
            "fax_number": "888-978-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-206-7080",
            "fax_number": "888-978-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRENT HORNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-206-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "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 21, 2022; 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.