| Arise Counseling Service Llc | |
|
2440 Willamette St Ste 201 Eugene OR 97405-3170 | |
| (541) 321-2278 | |
| (541) 246-8826 |
| Full Name | Arise Counseling Service Llc |
|---|---|
| Speciality | Counselor |
| Location | 2440 Willamette St Ste 201, Eugene, Oregon |
| Authorized Official Name and Position | Henrietta Wilhelmina Knox (OWNER) |
| Authorized Official Contact | 5413212278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Counseling Service Llc 2440 Willamette St Ste 201 Eugene OR 97405-3170 Ph: (541) 321-2278 | Arise Counseling Service Llc 2440 Willamette St Ste 201 Eugene OR 97405-3170 Ph: (541) 321-2278 |
| NPI Number | 1447715834 |
|---|---|
| Provider Enumeration Date | 02/10/2019 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Medicare PECOS PAC ID | 5496104473 |
|---|---|
| Medicare Enrollment ID | O20231215002492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447715834 | NPI | - | NPPES |
| 500682607 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elisabeth E Goldenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801924253 PECOS PAC ID: 6204129224 Enrollment ID: I20160727002408 |
| Provider Name | Theresa Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285173831 PECOS PAC ID: 0244689248 Enrollment ID: I20231215003260 |
| Provider Name | Julie Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841761780 PECOS PAC ID: 0547610115 Enrollment ID: I20231221003065 |
| Provider Name | Leah F Riedlinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154040715 PECOS PAC ID: 6204288947 Enrollment ID: I20240126000957 |
| Provider Name | Henrietta Knox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215208665 PECOS PAC ID: 1850743022 Enrollment ID: I20240126001138 |
| Provider Name | Heather Hodel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902387756 PECOS PAC ID: 7618320581 Enrollment ID: I20240126001510 |
| Provider Name | Wendi L Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952696981 PECOS PAC ID: 6608229570 Enrollment ID: I20240126001605 |
| Provider Name | Shannon Marie Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831739796 PECOS PAC ID: 4486007150 Enrollment ID: I20240130000098 |
| Provider Name | Alicia Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265809958 PECOS PAC ID: 0749633428 Enrollment ID: I20240130000157 |
| Provider Name | Shirah D Canaga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568932390 PECOS PAC ID: 1153774856 Enrollment ID: I20240130000896 |
| Provider Name | Rebekah Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508236423 PECOS PAC ID: 9032562673 Enrollment ID: I20240130002634 |
| Provider Name | Brianne Deyoung |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114373834 PECOS PAC ID: 3476906801 Enrollment ID: I20240201000900 |
| Provider Name | Sara Chavez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730797085 PECOS PAC ID: 3173976511 Enrollment ID: I20240201001029 |
| Provider Name | Lorilynn Espinoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790281228 PECOS PAC ID: 7012360464 Enrollment ID: I20240201001276 |
| Provider Name | Eldon A Richey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871552422 PECOS PAC ID: 1254774136 Enrollment ID: I20240207003096 |
| Provider Name | Elizabeth Lira |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124631940 PECOS PAC ID: 0345669891 Enrollment ID: I20240207003220 |
| Provider Name | Rita Hicks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861556425 PECOS PAC ID: 4385087279 Enrollment ID: I20240207003308 |
| Provider Name | Katie Mcalister |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063085033 PECOS PAC ID: 8729421615 Enrollment ID: I20240207003370 |
| Provider Name | Cale R Cloutier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831440742 PECOS PAC ID: 1153764048 Enrollment ID: I20240207003497 |
| Provider Name | Carrie A Laird-myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538467766 PECOS PAC ID: 5597108480 Enrollment ID: I20240207003574 |
| Provider Name | John Santin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831719012 PECOS PAC ID: 6305289208 Enrollment ID: I20240207003640 |
| Provider Name | Anne W Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396398616 PECOS PAC ID: 9638512536 Enrollment ID: I20240207003746 |
| Provider Name | Tawnya Renee Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023385077 PECOS PAC ID: 1850737420 Enrollment ID: I20240306002352 |
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