SANDRA MACKERELL (NPI# 1316334527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316334527 |
Entity Type | Individual |
Full Name | SANDRA MACKERELL |
Credential | QMHP |
Practice Address |
398 High St Eugene OR 97401-2310 |
Mailing Address |
4080 Reed Rd Se Ste 150 Salem OR 97302-1335 |
Practice Telephone | 5413441121 |
Practice Fax Number | 5413444780 |
Mailing Telephone | 5035811732 |
Mailing Fax Number | 5416860359 |
Enumeration Date | 2015-04-26 |
Last Update Date | 2020-06-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
C5627 | OR | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
C5627 | OR | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
499 W 4th Ave, Eugene, OR 974012505 | 5416861262 | 5416860359 |
Street Address |
398 HIGH ST |
City | EUGENE |
State | OR |
Zip Code | 97401-2310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003446725 | Sonja Therese Towner | Counselor | 398 High St, Eugene, OR 97401-2310 | 2020-01-22 |
1053858993 | Shangri-la Corporation | Community/Behavioral Health | 398 High St, Eugene, OR 97401-2310 | 2017-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
Find all providers in zip 97401 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811536782 | Whole Body Healing, LLC | Counselor | 1200 High St Ste 160, Eugene, OR 97401-3222 | 2019-12-24 |
1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
1427566322 | Grace Fletcher | Counselor | 390 Lincoln St Ste 240, Eugene, OR 97401-6021 | 2018-01-14 |
1104275726 | Desiree Dalkiran | Counselor | 826 Virgil Ave, Eugene, OR 97404-2731 | 2016-06-03 |
1992151955 | Deanna Manske | Counselor | 1400 High St Ste B, Eugene, OR 97401-4192 | 2016-05-09 |
1699136390 | Diane E Rogers | Counselor | 3413 Stark St, Eugene, OR 97404-1570 | 2016-03-09 |
1164895561 | Kara Schrenk Litwiller | Counselor | 616 E. 16th Ave., Eugene, OR 97401 | 2015-11-06 |
1285039917 | Sandra Gale Stubbs | Counselor | 323 Goodpasture Island Rd, Eugene, OR 97401-2109 | 2014-10-23 |
1033536966 | Kristen Sweet | Counselor | 450 Country Club Rd Ste 320, Eugene, OR 97401-5011 | 2014-03-28 |
1588098131 | Ker Cleary | Counselor | 474 Willamette St, Suite 302, Eugene, OR 97401-2661 | 2013-08-30 |
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.