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KENRIA YVONNE ANN VAN DE WATER
NPI 1780375014
Counselor - Mental Health in Eugene, OR

Active since May 17, 2023
1170 PEARL ST, EUGENE, OR 97401(541) 743-4340(541) 743-4369 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenria Yvonne Ann Van De Water NPPES

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

KENRIA YVONNE ANN VAN DE WATER (NPI 1780375014) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1780375014
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENRIA YVONNE ANN VAN DE WATER
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 DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1780375014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1170 PEARL ST, 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.

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 Kenria Van De Water's NPI number?

The NPI number for Kenria Van De Water is 1780375014. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Kenria Van De Water located?

Kenria Van De Water practices at 1170 Pearl St, Eugene, OR 97401. The listed phone number is (541) 743-4340.

What is Kenria Van De Water'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 Kenria Van De Water was last updated on May 17, 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.