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DAVID STREET CADC- 1, QMHA-R
NPI 1366145682
Counselor - Mental Health in Eugene, OR

Active since March 24, 2023
2411 MLK JR BLVD, EUGENE, OR 97401(541) 682-3550(541) 682-9861 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2024, Mar 24, 2023 (2 updates tracked since 2023).

About David Street Cadc- 1, Qmha-r NPPES

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

DAVID STREET CADC- 1, QMHA-R (NPI 1366145682) is an individual mental health provider in Eugene, Oregon, licensed in Oregon (23-QMHA-R-4722) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1366145682
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID STREETCredential: CADC- 1, QMHA-R
Location Address2411 MLK JR BLVDEugene, OR 97401-5824
Mailing Address2073 Olympic StSpringfield, OR 97477-3413 · (541) 682-3550 · Fax (541) 682-3551
Phone(541) 682-3550
Fax(541) 682-9861
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1366145682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 23-QMHA-R-4722
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
2411 MLK JR BLVD, Eugene, OR 97401
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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.

MS. BONNY JO BARR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
MS. CINDY CORSIN KAUFMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
CHRISTINA GAY PEIRSOL
Community Health Worker
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-7265
MR. JAY EMMETT MAJOR
Community Health Worker
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
FELICIA ANN CHAPMAN LPN
Licensed Practical Nurse
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
DELILAH JOY KENNEDY
Community Health Worker
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
MISS NACEE WOLFORD M.S.
Counselor (Mental Health)
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 682-7523
MS. FRANCES ELIZABETH FREUND
Case Manager/Care Coordinator
2411 MLK JR BLVD
EUGENE, OR 97401
Lane County (541) 643-5514

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 David Street's NPI number?

The NPI number for David Street is 1366145682. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is David Street located?

David Street practices at 2411 Mlk Jr Blvd, Eugene, OR 97401. The listed phone number is (541) 682-3550.

What is David Street'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 David Street was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.