MINDFUL BEHAVIOR SUPPORT INC (NPI# 1154983765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154983765 |
| Entity Type | Organization |
| Organization Name | MINDFUL BEHAVIOR SUPPORT INC |
| Practice Address |
492 E 13th Ave Eugene OR 97401-4268 |
| Mailing Address |
Po Box 210 Dexter OR 97431-0210 |
| Practice Telephone | 5415206440 |
| Mailing Telephone | 5415206440 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | JENNIFER WELLS (PRESIDENT) |
| Authorized Official Telephone | 5415206440 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Mindful Behavior Support Inc | Doing Business As Name - Organization |
| Pro Support On-Demand Inc | Former Legal Business Name - Organization |
| Street Address |
492 E 13TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295815009 | Karyn Lynn Aho | Psychologist | 492 E 13th Ave, Suite 102, Eugene, OR 97401-4268 | 2006-10-16 |
| 1982059606 | Jennifer Jane Wells | Specialist | 492 E 13th Ave, Eugene, OR 97401-4268 | 2016-05-01 |
| 1558721340 | Octarine Therapeutic Mental Health Services | Community/Behavioral Health | 492 E 13th Ave, 209, Eugene, OR 97401-4268 | 2016-03-07 |
| 1538525324 | Laura Fischrup | Occupational Therapist | 492 E 13th Ave, Suite 101, Eugene, OR 97401-4268 | 2016-01-08 |
| 1659649788 | Janice Artzer Hornsby | Social Worker | 492 E 13th Ave, Suite 106, Eugene, OR 97401-4268 | 2011-12-03 |
| 1598079469 | Robin L Grace | Social Worker | 492 E 13th Ave, Ste 203, Eugene, OR 97401-4250 | 2010-08-03 |
| 1649407362 | Leigh Saint-louis Md LLC | Clinic/Center | 492 E 13th Ave, Eugene, OR 97401-4268 | 2009-06-20 |
| 1033364666 | Lisa Lynn Burtraw | Specialist/Technologist, Other | 492 E 13th Ave, Suite #200, Eugene, OR 97401-4268 | 2008-11-24 |
| 1952554503 | Sally Smith | Counselor | 492 E 13th Ave, Suite 205, Eugene, OR 97401-4268 | 2008-10-28 |
| 1598939605 | Gary Mcnabb | Social Worker | 492 E 13th Ave, Suite 102, Eugene, OR 97401-4268 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629328 | Yahsolait Rose | Specialist | 3575 Donald St Ste 170, Eugene, OR 97405-4783 | 2020-04-27 |
| 1740841436 | Lacey Nicole Keeney | Specialist | 1623 Oak St, Eugene, OR 97401-4022 | 2019-06-24 |
| 1356883680 | Jonathan Hall | Specialist | 2866 Crescent Ave Ste 105, Eugene, OR 97408-7423 | 2016-11-17 |
| 1962954537 | Emily Gerrity | Specialist | 3560 Knob Hill Ln, Eugene, OR 97405-4739 | 2016-10-31 |
| 1538528377 | Tami Kanning | Specialist | 3575 Donald St Ste 630, Eugene, OR 97405-4775 | 2016-02-22 |
| 1124485792 | Mind Body Rolfing | Specialist | 1639 Oak St, Suite D, Eugene, OR 97401-4088 | 2016-01-27 |
| 1700257896 | Katie Field | Specialist | 2560 Alder St, Eugene, OR 97405-3032 | 2015-10-14 |
| 1619346533 | Heidi Holcomb | Specialist | 390 W 27th Pl, Eugene, OR 97405-2749 | 2015-09-21 |
| 1407230980 | Tyson Lancaster | Specialist | 1545 Villard St, Eugene, OR 97403-2045 | 2015-07-15 |
| 1699182048 | Alexandra Fraga | Specialist | 224 W 37th Ave, Eugene, OR 97405-3312 | 2014-07-17 |
| 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.