OCTARINE THERAPEUTIC MENTAL HEALTH SERVICES (NPI# 1558721340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558721340 |
| Entity Type | Organization |
| Organization Name | OCTARINE THERAPEUTIC MENTAL HEALTH SERVICES |
| Practice Address |
492 E 13th Ave 209 Eugene OR 97401-4268 |
| Practice Telephone | 4582055725 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | JACQUELINE HALL (PMHNP) |
| Authorized Official Telephone | 4582055725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 1508254517 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OCTARINE THERAPEUTIC MENTAL HEALTH SERVICES, LLC | 492 E 13th Ave #209, Eugene, OR 97401 |
| Street Address |
492 E 13TH AVE 209 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295815009 | Karyn Lynn Aho | Psychologist | 492 E 13th Ave, Suite 102, Eugene, OR 97401-4268 | 2006-10-16 |
| 1154983765 | Mindful Behavior Support Inc | Specialist | 492 E 13th Ave, Eugene, OR 97401-4268 | 2019-07-03 |
| 1982059606 | Jennifer Jane Wells | Specialist | 492 E 13th Ave, Eugene, OR 97401-4268 | 2016-05-01 |
| 1538525324 | Laura Fischrup | Occupational Therapist | 492 E 13th Ave, Suite 101, Eugene, OR 97401-4268 | 2016-01-08 |
| 1659649788 | Janice Artzer Hornsby | Social Worker | 492 E 13th Ave, Suite 106, Eugene, OR 97401-4268 | 2011-12-03 |
| 1598079469 | Robin L Grace | Social Worker | 492 E 13th Ave, Ste 203, Eugene, OR 97401-4250 | 2010-08-03 |
| 1649407362 | Leigh Saint-louis Md LLC | Clinic/Center | 492 E 13th Ave, Eugene, OR 97401-4268 | 2009-06-20 |
| 1033364666 | Lisa Lynn Burtraw | Specialist/Technologist, Other | 492 E 13th Ave, Suite #200, Eugene, OR 97401-4268 | 2008-11-24 |
| 1952554503 | Sally Smith | Counselor | 492 E 13th Ave, Suite 205, Eugene, OR 97401-4268 | 2008-10-28 |
| 1598939605 | Gary Mcnabb | Social Worker | 492 E 13th Ave, Suite 102, Eugene, OR 97401-4268 | 2008-04-18 |
| Find all providers in the same location | ||||
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203515 | New Summit Behavioral Therapy, LLC | Community/Behavioral Health | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-04-02 |
| 1114574936 | Invictus Therapy and Consultation LLC | Community/Behavioral Health | 1320 W 2nd Ave # 2a, Eugene, OR 97402-4127 | 2019-08-26 |
| 1538720297 | Kendall Thornton Psyd LLC | Community/Behavioral Health | 132 E Broadway Ste 500, Eugene, OR 97401-3127 | 2019-06-24 |
| 1538586649 | Holt International Children's Services, Inc. | Community/Behavioral Health | 250 Country Club Rd, Eugene, OR 97401 | 2014-03-26 |
| 1013238815 | Looking Glass Youth & Family Services | Community/Behavioral Health | 2655 Martin Luther King Jr Blvd, Eugene, OR 97401-5899 | 2010-06-15 |
| 1437478807 | Looking Glass Youth and Family Services | Community/Behavioral Health | 2655 Mlk Jr Blvd, Eugene, OR 97401-5899 | 2010-05-25 |
| 1275864985 | Vista Counseling & Consultation, Inc. | Community/Behavioral Health | 1551 Pearl St, Eugene, OR 97401-4010 | 2010-01-20 |
| 1013243070 | University of Oregon Counseling Center | Community/Behavioral Health | 1590 East 13th Avenue, Eugene, OR 97403-1232 | 2009-10-27 |
| 1982849121 | Lane County Youth Services | Community/Behavioral Health | 2727 Martin Luther King Jr Blvd, Eugene, OR 97401-5901 | 2008-12-02 |
| 1184788796 | Integrated Health Clinics of Eugene | Community/Behavioral Health | 715 Lincoln St, Eugene, OR 97401-2502 | 2006-12-20 |
| 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.