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KELLY LARSON KUSAK
NPI 1689000820
Counselor in Eugene, OR

Active since September 19, 2013
1170 PEARL ST, EUGENE, OR 97401(541) 743-4340(541) 743-4369 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Larson Kusak NPPES

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

KELLY LARSON KUSAK (NPI 1689000820) is an individual counselor in Eugene, Oregon and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1689000820
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY LARSON KUSAK
Location Address1170 PEARL STEugene, OR 97401-3541
Mailing Address1170 Pearl StEugene, OR 97401-3541 · (541) 743-4340 · Fax (541) 743-4369
Phone(541) 743-4340
Fax(541) 743-4369
Sole ProprietorNo
Enumeration DateSeptember 19, 2013
✔ NPI 1689000820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
1170 PEARL ST, Eugene, OR 97401
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Other Names 1

Former Name (1)Kelly Larson Spingola

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.

PHILIP ANDREW FISHER PH.D.
Psychologist (Clinical)
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
MARIKA ANN KUHN
Counselor
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
MONICA HOGAN
Counselor
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
TANNER ADANK QMHA
Counselor (Mental Health)
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
DESTANIE LAWANN KEASHA NIELSEN
Counselor
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
JAZMIN TINSLEY
Counselor
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
SCOTT KLEIN
Marriage & Family Therapist
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340
EVYAN DAUGHERTY MSW
Social Worker (Clinical)
1170 PEARL ST
EUGENE, OR 97401
Lane County (541) 743-4340

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 Kelly Kusak's NPI number?

The NPI number for Kelly Kusak is 1689000820. It was assigned to this individual provider in the NPPES registry on September 19, 2013. The provider is also known as Kelly Larson Spingola.

Where is Kelly Kusak located?

Kelly Kusak practices at 1170 Pearl St, Eugene, OR 97401. The listed phone number is (541) 743-4340.

What is Kelly Kusak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Kusak was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.