| Christians As Family Advocates | |
|
921 Country Club Rd 222 Eugene OR 97401-2257 | |
| (541) 686-6000 | |
| (541) 344-8239 |
| Full Name | Christians As Family Advocates |
|---|---|
| Speciality | Counselor |
| Location | 921 Country Club Rd, Eugene, Oregon |
| Authorized Official Name and Position | Carolyn Ann Rexius (DIRECTOR) |
| Authorized Official Contact | 5413497550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christians As Family Advocates 921 Country Club Rd 222 Eugene OR 97401-2257 Ph: (541) 686-6000 | Christians As Family Advocates 921 Country Club Rd 222 Eugene OR 97401-2257 Ph: (541) 686-6000 |
| NPI Number | 1548474562 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Medicare PECOS PAC ID | 5092949446 |
|---|---|
| Medicare Enrollment ID | O20180222000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548474562 | NPI | - | NPPES |
| 500694292 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carolyn Ann Rexius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700953189 PECOS PAC ID: 4183985773 Enrollment ID: I20180314001767 |
| Provider Name | Danene R Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558538769 PECOS PAC ID: 9638431919 Enrollment ID: I20180326002824 |
| Provider Name | Karen Jo Stark-bredeweg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558643635 PECOS PAC ID: 9830454651 Enrollment ID: I20180529001625 |
| Provider Name | Carol Rexius |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134348592 PECOS PAC ID: 1759725880 Enrollment ID: I20240216002523 |
| Provider Name | Kevin Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700394558 PECOS PAC ID: 7416392618 Enrollment ID: I20240227004367 |
| Provider Name | Bonnie Thielke Temple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265952451 PECOS PAC ID: 9234576406 Enrollment ID: I20240322003623 |
| Provider Name | Stephen F Neet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316343080 PECOS PAC ID: 2668812413 Enrollment ID: I20240426003505 |
| Provider Name | Corey Jai Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194866707 PECOS PAC ID: 6901247600 Enrollment ID: I20240513001953 |
| Provider Name | Anthony Eugene Reeser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427673227 PECOS PAC ID: 8527409937 Enrollment ID: I20240516002083 |
| Provider Name | Sharon Lynn Stater |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922127265 PECOS PAC ID: 4486198157 Enrollment ID: I20240705001006 |
| Provider Name | Laura D Nydigger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184010944 PECOS PAC ID: 5991242638 Enrollment ID: I20240731001010 |
| Provider Name | Spencer Glenn O'connell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104441385 PECOS PAC ID: 0042751679 Enrollment ID: I20240923001187 |
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