Micah Dominic Eckburg I, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

111140 Issued in OR

Practice address

715 Lincoln St
Eugene, OR 97401-2502

Phone

(541) 344-3574

Fax

(541) 344-5652

NPI assigned

May 29, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Health Clinics of Eugene

  • Methadone Clinic
  • Eugene, OR
  • NPI 1184788796
  NPD (past)
• Integrated Health Management

  • Community/Behavioral Health Agency
  • Eugene, OR
  • NPI 1770944506
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1982444824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82272 RIVER DR",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269861",
            "telephone_number": "541-206-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LINCOLN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012502",
            "telephone_number": "541-344-3574",
            "fax_number": "541-344-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKBURG",
        "first_name": "MICAH",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "111140",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "111140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Eberle, RPH
• Catherine E Ebert, PT
• Brandon William Ebling
• Cameron G. Eccles
• Hannibal Eccles, MD
• Christopher A Eckerdt
• Allison Eckert, ARNP-NP, DNP
• Kayla Eckloff
• Shawn A Eckstrom, DDS
• Nicole Michelle Edblom

• Peer Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.