Individual provider Active NPI

Deanna Linville, PH.D., LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1992008684
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0454 Issued in OR
Practice address
1188 Olive St
Eugene, OR 97401-3547
Phone
(503) 272-1750
NPI assigned
Dec 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T0454 OR
Marriage & Family Therapist 106H00000X T0454 OR Primary

Addresses

Primary practice location

1188 Olive St
Eugene, OR 97401-3547

Mailing address

1188 Olive St
Eugene, OR 97401-3547
Phone (503) 272-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 5, 2024 through Nov 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T0454ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Transformative Healing Mental Health Current Accepting new patients

Locations

1188 Olive St
Eugene, OR 97401
Phone (541) 203-3916

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1992008684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 OLIVE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013547",
            "telephone_number": "503-272-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 OLIVE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013547",
            "telephone_number": "503-272-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "DEANNA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-18",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "T0454",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.