Intentional Journeys Counseling and Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTENTIONAL JOURNEYS COUNSELING AND CONSULTING, LLC

Practice address

1849 Willamette St Ste 6
Eugene, OR 97401-4683

Phone

(541) 206-3965

NPI assigned

Nov 28, 2019

Organization subpart

No

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

Authorized official

Name

Robyn Gibbs, LCSWNPI 1790947497

Title

Owner/Member/Provider

Phone

(541) 206-3965

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robyn Susan Gibbs, LCSW

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1790947497
  NPD Authorized official

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1972140747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MISTLETOE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025637",
            "telephone_number": "541-579-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLAMETTE ST STE 6",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014683",
            "telephone_number": "541-206-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL JOURNEYS COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-28",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER/MEMBER/PROVIDER",
        "authorized_official_telephone_number": "541-206-3965",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Michael Ippolito, OTR/L
• Dainis Irbe, M.D.
• Hira Irfan

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.