KRISTOPHER GEORGE ZELLICK (NPI# 1265077440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265077440 |
| Entity Type | Individual |
| Full Name | KRISTOPHER GEORGE ZELLICK |
| Credential | CADC-R |
| Practice Address |
1420 Green Acres Rd Eugene OR 97408-1791 |
| Mailing Address |
687 Cheshire Ave Eugene OR 97402-5060 |
| Practice Telephone | 5417624500 |
| Practice Fax Number | 5416844156 |
| Mailing Telephone | 5416844100 |
| Mailing Fax Number | 5416844156 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1420 GREEN ACRES RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645193 | Elliott Adams Gehr | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2014-02-27 |
| 1861093817 | Adam Hoffmann | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2020-11-05 |
| 1124629423 | Travis Adam Fries | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2020-11-03 |
| 1578102653 | Jeffrey Lee Holloway | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2020-01-06 |
| 1962066472 | Steven Lee | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2019-04-30 |
| 1578126579 | Darryl Lambert | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2019-04-16 |
| 1063997930 | Jesse Strachan | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2018-09-26 |
| 1861981904 | Paul M. Rodriguez | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2018-05-03 |
| 1760921670 | Michael Neuberger | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2017-02-13 |
| 1003368564 | Bethany Tournade | Counselor | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619659 | Erika Casey | Counselor | 1572 Mckinley Ct, Eugene, OR 97402-3440 | 2019-06-27 |
| 1346760345 | Elicea Manners | Counselor | 78a Centennial Loop, Eugene, OR 97401 | 2017-06-21 |
| 1306386438 | Shelby Afton Marie Slay | Counselor | 1246 River Rd, Eugene, OR 97404-2633 | 2017-03-08 |
| 1629515408 | Laura Willow | Counselor | 2162 Riverview St, Eugene, OR 97403-2238 | 2017-01-31 |
| 1699217471 | Leslie Ann Bletscher | Counselor | 900 River Loop 1, Eugene, OR 97404-1494 | 2016-11-10 |
| 1467904045 | Linda Vik | Counselor | 304 Dartmoor Dr, Eugene, OR 97401-5728 | 2016-10-28 |
| 1255883047 | Forrest Beesley | Counselor | 3091 Portland St, Eugene, OR 97405-3394 | 2016-10-27 |
| 1992257844 | Molly Kate Gelinas | Counselor | 77 Stults Ave, Eugene, OR 97404-3269 | 2016-10-26 |
| 1376903120 | Patricia Hummel | Counselor | 616 East 16th Avenue, Eugene, OR 97401 | 2016-03-07 |
| 1497113765 | Nathan Mart | Counselor | 4211 W 11th Ave, Eugene, OR 97402-5435 | 2016-02-02 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.