INVICTUS THERAPY AND CONSULTATION LLC (NPI# 1114574936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114574936 |
| Entity Type | Organization |
| Organization Name | INVICTUS THERAPY AND CONSULTATION LLC |
| Practice Address |
1320 W 2nd Ave # 2a Eugene OR 97402-4127 |
| Mailing Address |
617 St Charles St Eugene OR 97402-1689 |
| Practice Telephone | 5413136199 |
| Practice Fax Number | 5415768977 |
| Mailing Telephone | 5413136199 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | DR. BRADLEY COHN (OWNER) |
| Authorized Official Telephone | 5413136199 |
| Authorized Official Credential | PHD, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500662798 | 05 |
| Street Address |
1320 W 2ND AVE # 2A |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203515 | New Summit Behavioral Therapy, LLC | Community/Behavioral Health | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-04-02 |
| 1538720297 | Kendall Thornton Psyd LLC | Community/Behavioral Health | 132 E Broadway Ste 500, Eugene, OR 97401-3127 | 2019-06-24 |
| 1538586649 | Holt International Children's Services, Inc. | Community/Behavioral Health | 250 Country Club Rd, Eugene, OR 97401 | 2014-03-26 |
| 1013238815 | Looking Glass Youth & Family Services | Community/Behavioral Health | 2655 Martin Luther King Jr Blvd, Eugene, OR 97401-5899 | 2010-06-15 |
| 1437478807 | Looking Glass Youth and Family Services | Community/Behavioral Health | 2655 Mlk Jr Blvd, Eugene, OR 97401-5899 | 2010-05-25 |
| 1275864985 | Vista Counseling & Consultation, Inc. | Community/Behavioral Health | 1551 Pearl St, Eugene, OR 97401-4010 | 2010-01-20 |
| 1013243070 | University of Oregon Counseling Center | Community/Behavioral Health | 1590 East 13th Avenue, Eugene, OR 97403-1232 | 2009-10-27 |
| 1982849121 | Lane County Youth Services | Community/Behavioral Health | 2727 Martin Luther King Jr Blvd, Eugene, OR 97401-5901 | 2008-12-02 |
| 1184788796 | Integrated Health Clinics of Eugene | Community/Behavioral Health | 715 Lincoln St, Eugene, OR 97401-2502 | 2006-12-20 |
| 1114551538 | Jennifer Hart Lmft LLC | Community/Behavioral Health | 927 Country Club Rd Ste 200, Eugene, OR 97401-2272 | 2020-02-25 |
| Find all providers in EUGENE | ||||
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| 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.