NEW SUMMIT BEHAVIORAL THERAPY, LLC (NPI# 1689203515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689203515 |
| Entity Type | Organization |
| Organization Name | NEW SUMMIT BEHAVIORAL THERAPY, LLC |
| Practice Address |
1056 Green Acres Rd # 102-360 Eugene OR 97408-1505 |
| Practice Telephone | 9516755470 |
| Mailing Telephone | 9516755470 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | EVAN GREGORY RYERSON (FOUNDER) |
| Authorized Official Telephone | 9516755470 |
| Authorized Official Credential | MA, BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NEW SUMMIT BEHAVIORAL THERAPY, LLC | 1848 Cedar Brook Drive, Eugene, OR 97402 |
| Street Address |
1056 GREEN ACRES RD # 102-360 |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494168 | Marvette Renee Browning-vollmer | Behavior Technician | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| 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 |
|---|---|---|---|---|
| 1114574936 | Invictus Therapy and Consultation LLC | Community/Behavioral Health | 1320 W 2nd Ave # 2a, Eugene, OR 97402-4127 | 2019-08-26 |
| 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.