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ETHAN DEGHELDER
NPI 1124773148
Counselor - Mental Health in Springfield, OR

Active since February 17, 2022
3825 INTERNATIONAL CT, SPRINGFIELD, OR 97477(541) 858-8170(541) 858-8167 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Feb 17, 2022 (2 updates tracked since 2022).

About Ethan Deghelder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN DEGHELDER (NPI 1124773148) is an individual mental health provider in Springfield, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1124773148
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN DEGHELDER
Location Address3825 INTERNATIONAL CTSpringfield, OR 97477-1086
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 858-8170
Fax(541) 858-8167
Sole ProprietorNo
Enumeration DateFebruary 17, 2022
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1124773148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · PROFESSIONALLICENSE
3825 INTERNATIONAL CT, Springfield, OR 97477
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUREEN MARY ROSENBERGER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
KAITLYN KATHRYN HENNER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
ANDREW BUBBA ANDERSON
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
MONICA JEAN ALLEN
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
SAWYER CORSON
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
CHELSEA LEANN ROBERTSON
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
RENAE SHOEMAKER
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170
HALEY DENISE WILLIS
Counselor (Mental Health)
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477
Lane County (541) 858-8170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Deghelder's NPI number?

The NPI number for Ethan Deghelder is 1124773148. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Ethan Deghelder located?

Ethan Deghelder practices at 3825 International Ct, Springfield, OR 97477. The listed phone number is (541) 858-8170.

What is Ethan Deghelder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ethan Deghelder was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.