WHITE BIRD CLINIC (NPI# 1417444217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417444217 |
| Entity Type | Organization |
| Organization Name | WHITE BIRD CLINIC |
| Practice Address |
341 E. 12th Eugene OR 97401-3212 |
| Practice Telephone | 5413428255 |
| Practice Fax Number | 5413427987 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | KATHRYN LOUISE GILLESPIE (CLINICAL CARE COORDINATOR) |
| Authorized Official Telephone | 5419126842 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE BIRD CLINIC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747854 | White Bird Clinic | Counselor | 341 East 12th Ave, Eugene, OR 97401-3212 | 2018-04-11 |
| 1891292314 | White Bird Clinic | Counselor | 341 East 12th Avenue, Eugene, OR 97401-3212 | 2018-04-11 |
| 1598000960 | White Bird Clinic | Community/Behavioral Health | 341 E 12th Ave, Eugene, OR 97401-3212 | 2012-12-11 |
| 1740327717 | White Bird Clinic | Clinic/Center | 341 E 12th Ave, Eugene, OR 97401-3212 | 2007-01-31 |
| 1952457335 | White Bird Clinic | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2007-01-26 |
| 1700932357 | White Bird Clinic | Clinic/Center | 341 E 12th Ave, Eugene, OR 97401-3212 | 2007-01-26 |
| 1700932795 | White Bird Clinic | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WHITE BIRD CLINIC | 341 E 12th Ave, Eugene, OR 97401-3212 |
| Oregon Corporations, Companies and Business Names | WHITE BIRD CLINIC | 341 E 12th Ave, Eugene, OR 97401 |
| Street Address |
341 E. 12TH |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3212 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1689296113 | Ruby Joy Garcia | Counselor | 970 W 7th Ave, Eugene, OR 97402-4612 | 2020-05-06 |
| 1578118931 | Kindra Maline French | Counselor | 767 W 8th Ave, Eugene, OR 97402-5139 | 2019-08-02 |
| 1083272900 | Sarah Louise Stutzman | Counselor | Oregon Community Programs, 1170 Pearl St, Eugene, OR 97401-3541 | 2019-06-05 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1114412178 | Sarah Jane Kahler | Counselor | 3500 Chad Dr Ste 350, Eugene, OR 97408-7426 | 2018-06-22 |
| 1346747854 | White Bird Clinic | Counselor | 341 East 12th Ave, Eugene, OR 97401-3212 | 2018-04-11 |
| 1891292314 | White Bird Clinic | Counselor | 341 East 12th Avenue, Eugene, OR 97401-3212 | 2018-04-11 |
| 1992230940 | Michelle Maher | Counselor | 1060 Almaden St, Eugene, OR 97402-3739 | 2017-04-27 |
| 1750829289 | Anya Kaiser | Counselor | 932 W 7th Ave, Apt #07, Eugene, OR 97402-4666 | 2017-02-03 |
| 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.