Active NPI
Tiana Mikayla Oaks, BS, MA SPED, QMHP-R
- Mental Health Counselor
- Roseburg, OR
National Provider Identifier
1992673750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1409 NE Diamond Lake Blvd
Roseburg, OR 97470-3347 - Phone
- (541) 530-3155
- Fax
- (541) 440-4771
- NPI assigned
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | OR | ||
| Case Manager/Care Coordinator | 171M00000X | OR | ||
| Mental Health Counselor | 101YM0800X | OR | Primary |
Addresses
Primary practice location
1409 NE Diamond Lake Blvd
Roseburg, OR 97470-3347
Mailing address
546 Tipton Rd
Roseburg, OR 97471-4466
Other names 1
- Tiana Eovaldi
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
- Credentials
- Bachelor of Science, Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1992673750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 TIPTON RD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974714466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 NE DIAMOND LAKE BLVD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703347",
"telephone_number": "541-530-3155",
"fax_number": "541-440-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKS",
"first_name": "TIANA",
"middle_name": "MIKAYLA",
"credential": "BS, MA SPED, QMHP-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIANA",
"last_name": "EOVALDI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.