Active NPI
Heeran Center
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1992064984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HEERAN CENTER
- Practice address
- 2222 Coburg Rd
Eugene, OR 97401-4966 - Phone
- (541) 686-1262
- Fax
- (541) 686-0359
- NPI assigned
- May 10, 2012
- Organization subpart
- Yes
- Parent organization
- SHELTERCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Bonner
- Title
- Assistant Executive Director
- Phone
- (541) 686-1262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2222 Coburg Rd
Eugene, OR 97401-4966
Mailing address
499 W 4TH Ave
Eugene, OR 97401-2505
Phone (541) 686-1262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509446 | Medicaid | OR |
Other names 1
- Sheltercare
National Provider Directory
National Provider Directory- Tax ID family
- Heeran Center
- Part of
- Heeran Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1184983173
-
- Mental Health Counselor
- Eugene, OR
- NPI 1376690107
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Mental Health Counselor
- Eugene, OR
- NPI 1376690107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336608000000",
"number": "1992064984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 W 4TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012505",
"telephone_number": "541-686-1262",
"fax_number": "541-686-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014966",
"telephone_number": "541-686-1262",
"fax_number": "541-686-0359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEERAN CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHELTERCARE",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A",
"authorized_official_last_name": "BONNER",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "541-686-1262"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509446",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sheltercare",
"code": "5",
"type": "Other Name"
}
]
}
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 May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.