Active NPI
Alan Zundel
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1992038160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3175
- Practice address
- 1257 High St Ste 4
Eugene, OR 97401-3279 - Phone
- (541) 510-8804
- NPI assigned
- Sep 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | C3175 | OR | Primary |
Addresses
Primary practice location
1257 High St Ste 4
Eugene, OR 97401-3279
Mailing address
1257 High St Ste 4
Eugene, OR 97401-3279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3175 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1992038160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 HIGH ST STE 4",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 HIGH ST STE 4",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013279",
"telephone_number": "541-510-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUNDEL",
"first_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-06",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C3175",
"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 Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.