THERAPY TO SHINE (NPI# 1033717624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033717624 |
| Entity Type | Organization |
| Organization Name | THERAPY TO SHINE |
| Practice Address |
210 E 6th Ave Junction City OR 97448 |
| Mailing Address |
30131 Substation Dr Harrisburg OR 97446-9702 |
| Practice Telephone | 5415563850 |
| Mailing Telephone | 5415563850 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DEBRA HARGETT (THERAPIST) |
| Authorized Official Telephone | 5415563850 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shine Therapy | Former Legal Business Name - Organization |
| Street Address |
210 E 6TH AVE |
| City | JUNCTION CITY |
| State | OR |
| Zip Code | 97448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336659804 | Tamera Lane O'guinn | Counselor | 210 E 6th Ave, Junction City, OR 97448-1803 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246466 | Haley Forte | Specialist/Technologist | 408 Walnut Street, Junction City, OR 97448 | 2020-02-04 |
| 1255841250 | Joann M Hatton | Counselor | 1041 Yew St, Junction City, OR 97448 | 2017-10-04 |
| 1437605482 | Terry Zachariah Hurst | Social Worker | 92695 Pebble Beach Lane, Junction City, OR 97448 | 2016-08-30 |
| 1568806206 | Devon Denny | Occupational Therapist | 503 S Birch St, Junction City, OR 97448 | 2013-04-24 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1497392591 | Jenny Mayer Chan | Pharmacist | 1755 Ivy St, Junction City, OR 97448 | 2019-12-08 |
| 1275922239 | Oregon State Hospital - Junction City Campus | Pharmacy | 29398 Recovery Way, Junction City, OR 97448 | 2015-01-14 |
| 1396142543 | Ruth Will | Physical Therapist | 680 Ivy St, Junction City, OR 97448 | 2014-12-02 |
| 1144399213 | Michael Howard Baum | Physical Therapist | 321 Holly Street, Junction City, OR 97448-0275 | 2006-11-06 |
| 1740840628 | Maria Guadalupe Iboa Montes | Technician | 1085 W 1st Ave Unit M, Junction City, OR 97448-1029 | 2019-06-13 |
| Find all providers in zip 97448 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1639793367 | Northwest Geriactrics | Clinic/Center | 10365 Se Sunnyside Rd Ste 340, Clackamas, OR 97015-5751 | 2020-05-28 |
| 1366065872 | Caring Hands Residential Services LLC | Clinic/Center | 16220 Se Mckinley Ave, Clackamas, OR 97015-9418 | 2020-05-19 |
| 1972139947 | Kevin Ryan PC | Clinic/Center | 119 E 2nd St Ste 210, The Dalles, OR 97058-1796 | 2020-03-21 |
| 1083240386 | Peace of Mind Functional Medicine | Clinic/Center | 151 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-3233 | 2020-03-18 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1154802403 | Dr. Asha Stephen, LLC | Clinic/Center | 1234 Pearl St Ste 7, Eugene, OR 97401-3642 | 2018-08-24 |
| 1891272324 | Cressall Psychiatric LLC | Clinic/Center | 240 E 12th Ave, Eugene, OR 97401-3245 | 2018-07-26 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
| City | JUNCTION CITY |
| Zip Code | 97448 |
Please comment or provide details below to improve the information on THERAPY TO SHINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.