| Optum Behavioral Care Of Colorado, P.c. | |
|
101 E Broadway Ste 400 Eugene OR 97401-3104 | |
| (704) 506-6267 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 101 E Broadway Ste 400, Eugene, Oregon |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Colorado, P.c. 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (704) 506-6267 | Optum Behavioral Care Of Colorado, P.c. 101 E Broadway Ste 400 Eugene OR 97401-3104 Ph: (704) 506-6267 |
| NPI Number | 1316717747 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 0941648463 |
|---|---|
| Medicare Enrollment ID | O20240827003465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316717747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melody S George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033409313 PECOS PAC ID: 9335307438 Enrollment ID: I20120221000529 |
| Provider Name | Christina L Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417079146 PECOS PAC ID: 5890928121 Enrollment ID: I20140512001179 |
| Provider Name | Angie Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164821229 PECOS PAC ID: 3375884273 Enrollment ID: I20190402001677 |
| Provider Name | Ida Moadab |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205147675 PECOS PAC ID: 4082940192 Enrollment ID: I20190727000175 |
| Provider Name | Chaunce R Windle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326382300 PECOS PAC ID: 4880923663 Enrollment ID: I20190903002807 |
| Provider Name | Jenna Lee Brown Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134628571 PECOS PAC ID: 0840625331 Enrollment ID: I20200109002569 |
| Provider Name | Colleen Comeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366995862 PECOS PAC ID: 5294162400 Enrollment ID: I20200228001222 |
| Provider Name | Ron Miyaguchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851784482 PECOS PAC ID: 1355762626 Enrollment ID: I20200522002250 |
| Provider Name | Anicka Leah Gabriella Oyer Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225563190 PECOS PAC ID: 7618396870 Enrollment ID: I20201007003042 |
| Provider Name | Diana L Frates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558546465 PECOS PAC ID: 7911135371 Enrollment ID: I20201112001703 |
| Provider Name | Alyssa Nevell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245970961 PECOS PAC ID: 9133594419 Enrollment ID: I20230419001602 |
| Provider Name | Chandra L. Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326372681 PECOS PAC ID: 0648682211 Enrollment ID: I20231113000763 |
| Provider Name | Lisa Oland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437517562 PECOS PAC ID: 7810347945 Enrollment ID: I20240102001059 |
| Provider Name | Riley Crowder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174752224 PECOS PAC ID: 3779933700 Enrollment ID: I20240103000943 |
| Provider Name | Hannah Lukas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447612809 PECOS PAC ID: 8123470291 Enrollment ID: I20240115001158 |
| Provider Name | Fabiola Del Aguila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720283211 PECOS PAC ID: 9739329020 Enrollment ID: I20240201000437 |
| Provider Name | Cheyenne Nieblas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740847227 PECOS PAC ID: 8820530751 Enrollment ID: I20240607000035 |
| Provider Name | Mac Zimdars |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710377395 PECOS PAC ID: 9335671932 Enrollment ID: I20241021003998 |
| Provider Name | Joshua Raphael Atanasio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487138178 PECOS PAC ID: 3476088782 Enrollment ID: I20241122004231 |
| Provider Name | Kristyn Renee Prockish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164112827 PECOS PAC ID: 6002341104 Enrollment ID: I20241126003757 |
| Provider Name | Mallori J Langford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114662707 PECOS PAC ID: 2668907528 Enrollment ID: I20241202001277 |
| Provider Name | Nicole Fellenz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154801827 PECOS PAC ID: 9830626696 Enrollment ID: I20241218002828 |
| Provider Name | Mary Angeline Hendrickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457663288 PECOS PAC ID: 3577090943 Enrollment ID: I20241224000844 |
| Provider Name | Faith Swords |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093332132 PECOS PAC ID: 1254868631 Enrollment ID: I20241224001063 |
| Provider Name | Genevieve Cleverley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841919719 PECOS PAC ID: 3375070782 Enrollment ID: I20241226000674 |
| Provider Name | Robert Kleinjan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740688803 PECOS PAC ID: 6103187497 Enrollment ID: I20241226000685 |
| Provider Name | Margaret J Riley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952878373 PECOS PAC ID: 5991232316 Enrollment ID: I20241226001130 |
| Provider Name | Roxanne Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821441130 PECOS PAC ID: 7911434345 Enrollment ID: I20241226001455 |
| Provider Name | Emilee Grace Herinckx |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477128866 PECOS PAC ID: 1456888700 Enrollment ID: I20241226002476 |
| Provider Name | Danit Lidor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497476113 PECOS PAC ID: 9537696893 Enrollment ID: I20241226002982 |
| Provider Name | Mandy Elena Roler Hull |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255470654 PECOS PAC ID: 2365976628 Enrollment ID: I20241230002052 |
| Provider Name | Daniel Tobias Rubin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174858252 PECOS PAC ID: 1456888460 Enrollment ID: I20250102001002 |
| Provider Name | Jill Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396292652 PECOS PAC ID: 1951839968 Enrollment ID: I20250103001809 |
| Provider Name | Paul Dudziak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851850069 PECOS PAC ID: 2567990492 Enrollment ID: I20250106003238 |
| Provider Name | Janie Kiyokawa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225697998 PECOS PAC ID: 9830627678 Enrollment ID: I20250108000650 |
| Provider Name | Olivia Hurd-pipalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881191724 PECOS PAC ID: 8820345655 Enrollment ID: I20250108002730 |
| Provider Name | Freya Meraki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831511377 PECOS PAC ID: 8729418801 Enrollment ID: I20250108003512 |
| Provider Name | Naoya Izawa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851151484 PECOS PAC ID: 7618405317 Enrollment ID: I20250108003746 |
| Provider Name | Ann Marie Mchenry |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477854750 PECOS PAC ID: 2062943640 Enrollment ID: I20250110002298 |
| Provider Name | Sara J Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962736298 PECOS PAC ID: 7517495963 Enrollment ID: I20250113001996 |
| Provider Name | Amanda Jo Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447987060 PECOS PAC ID: 7618405036 Enrollment ID: I20250114000490 |
| Provider Name | Maggie Sprague |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992901144 PECOS PAC ID: 0749718047 Enrollment ID: I20250115000329 |
| Provider Name | Robin Hanseth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619177979 PECOS PAC ID: 6709315740 Enrollment ID: I20250121002469 |
| Provider Name | Alicia J. Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215314059 PECOS PAC ID: 7810426608 Enrollment ID: I20250123001378 |
| Provider Name | Kippy Macklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881332781 PECOS PAC ID: 5092717975 Enrollment ID: I20250129002298 |
| Provider Name | Kylee Jaye Brandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326436957 PECOS PAC ID: 6800326927 Enrollment ID: I20250205000338 |
| Provider Name | Tyree John Dingle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710476684 PECOS PAC ID: 7618407594 Enrollment ID: I20250206002872 |
| Provider Name | Linda Yu Meyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154687044 PECOS PAC ID: 1759627649 Enrollment ID: I20250211000973 |
| Provider Name | Margaret Ak Jelinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528885936 PECOS PAC ID: 6406386077 Enrollment ID: I20250212000462 |
| Provider Name | Anne Avgerin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225845241 PECOS PAC ID: 6406386010 Enrollment ID: I20250212001602 |
| Provider Name | Jenna Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417512468 PECOS PAC ID: 1951822758 Enrollment ID: I20250310002145 |
Emerald Tms, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1140 Willagillespie Rd Ste 44, Eugene, OR 97401 Phone: 541-735-3241 | |
Looking Glass Youth & Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Mlk Jr Blvd, Eugene, OR 97401 Phone: 541-682-7950 | |
Looking Glass Youth & Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Martin Luther King Jr Blvd, Eugene, OR 97401 Phone: 541-682-7950 | |
University Of Oregon Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 East 13th Avenue, Eugene, OR 97403 Phone: 541-346-3227 Fax: 541-346-2842 | |
Steve Pethick, Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 401 E 10th Ave Ste 530, Eugene, OR 97401 Phone: 541-687-7787 Fax: 855-646-7433 | |
Behavioral Health Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 399 E 10th Ave, Suite #113, Eugene, OR 97401 Phone: 541-342-8208 Fax: 541-687-8159 | |
New Destiny Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E 24th Ave, Eugene, OR 97405 Phone: 541-515-0900 Fax: 541-799-0789 |