Organization Active NPI

Seeds of Change Counseling Services, LLC.

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1972212611
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEEDS OF CHANGE COUNSELING SERVICES, LLC.
Practice address
215 W 10TH Ave
Eugene, OR 97401-3008
Phone
(541) 344-7088
Fax
(888) 990-2234
NPI assigned
Nov 22, 2022
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
David Neil Boyer, M.ED., LMFTNPI 1396951992
Title
Owner / Therapist
Phone
(541) 606-5777

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

215 W 10TH Ave
Eugene, OR 97401-3008

Mailing address

PO Box 40715
Eugene, OR 97404-0110
Phone (541) 606-5777

Other identifiers 2

IdentifierTypeStateIssuer
106H00000XMedicaidOR
101YM0800XMedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219002403 OR Part B Supplier - Clinic/Group Practice 4183068042 Receives reassigned benefits from 2 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

215 W 10th Ave
Eugene, OR 97401
Phone (541) 344-7088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1972212611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40715",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974040110",
            "telephone_number": "541-606-5777",
            "fax_number": "888-990-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013008",
            "telephone_number": "541-344-7088",
            "fax_number": "888-990-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF CHANGE COUNSELING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-03-07",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "541-606-5777",
        "authorized_official_credential": "M.ED., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106H00000X",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "OR"
        }
    ],
    "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 Mar 7, 2024; 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.