ABBEY CARLSTROM (NPI# 1639728843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639728843 |
| Entity Type | Individual |
| Full Name | ABBEY CARLSTROM |
| Practice Address |
341 E 12th Ave Eugene OR 97401-3212 |
| Practice Telephone | 5413428255 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500650666 | 05 |
| Street Address |
341 E 12TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780773168 | Jonathan S Schwartz | Social Worker | 341 E 12th Ave, White Bird Clinic, Eugene, OR 97401-3212 | 2006-10-12 |
| 1063026227 | Bianca Gloria Marino | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2020-09-04 |
| 1508474487 | Richard Arthur Graymer | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2020-07-16 |
| 1447884838 | Simone Tessler | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2020-02-25 |
| 1457983074 | Kristin Tillie Xander | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2020-02-11 |
| 1538707575 | Jennifer Harter | Counselor | 341 E 12th Ave, Eugene, OR 97401-3212 | 2019-12-19 |
| 1073174843 | Lawrence Stentzel Iv | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-06-24 |
| 1750945432 | April Oliver | Peer Specialist | 341 E 12th Ave, Eugene, OR 97401-3212 | 2019-04-27 |
| 1225692114 | Brenda Kosydar | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-04-25 |
| 1487218327 | Luca Silver | Peer Specialist | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-04-25 |
| 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 | 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 |
| 1417444217 | White Bird Clinic | Counselor | 341 E. 12th, Eugene, OR 97401-3212 | 2018-04-17 |
| 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 |
| 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.