CARSON VALLEY COUNSELING - NPI 1225638067

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Carson Valley Counseling NPPES

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

CARSON VALLEY COUNSELING (NPI 1225638067) is a healthcare organization registered as a mental health in Eugene, Oregon and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Brookings and lists Holly Cooper, Provider Support Supervisor, as its authorized official.

NPPES Registry Identity

NPI1225638067

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameFREEDOM HEALTHCARE INC

Location Address777 HIGH ST STE 130Eugene, OR 97401-2750

Mailing AddressPo Box 810Gold Beach, OR 97444-0810 · (541) 373-8116

Phone(458) 224-8090

Organization SubpartNo

Authorized OfficialHolly CooperProvider Support Supervisor · (541) 701-9950

Enumeration DateOctober 30, 2020

Last NPPES UpdateApril 26, 20223 updates tracked since enumeration

NPPES CertifiedAugust 13, 2021

✔ NPI 1225638067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

777 HIGH ST STE 130, Eugene, OR 97401

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Other Names 1

Doing Business AsCarson Valley Counseling

Secondary Practice Location 1

Location 1615 5th StBrookings, OR 97415-9199 · Phone (541) 813-2535

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 7

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

DRENNA THOMPSON MENTAL HEALTH INTERN

Counselor (Mental Health)