| Vista Counseling & Consultation, Inc. | |
|
1551 Pearl St Eugene OR 97401-4010 | |
| (541) 517-9733 | |
| Not Available |
| Full Name | Vista Counseling & Consultation, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1551 Pearl St, Eugene, Oregon |
| Authorized Official Name and Position | Julie Renee Liszka (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 5415179733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Counseling & Consultation, Inc. 1531 Pearl St Eugene OR 97401-4010 Ph: () - | Vista Counseling & Consultation, Inc. 1551 Pearl St Eugene OR 97401-4010 Ph: (541) 517-9733 |
| NPI Number | 1275864985 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Medicare PECOS PAC ID | 1153748363 |
|---|---|
| Medicare Enrollment ID | O20200902002946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275864985 | NPI | - | NPPES |
| 500781714 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1572 (Oregon) | Primary |
| Provider Name | Gary L Bredeweg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558454454 PECOS PAC ID: 6305013160 Enrollment ID: I20120118000785 |
| Provider Name | Kara D Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306043252 PECOS PAC ID: 5193992568 Enrollment ID: I20120125000925 |
| Provider Name | Coleen C Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821410531 PECOS PAC ID: 9133347651 Enrollment ID: I20140826000187 |
| Provider Name | Lisa M Brauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154782282 PECOS PAC ID: 8022317874 Enrollment ID: I20160428000935 |
| Provider Name | Adam N Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699276287 PECOS PAC ID: 8426481839 Enrollment ID: I20191125002098 |
| Provider Name | Elise Noel Bascom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043853948 PECOS PAC ID: 5799118352 Enrollment ID: I20191212001197 |
| Provider Name | Jennifer Ruth Metheny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598093015 PECOS PAC ID: 9032538889 Enrollment ID: I20200929001793 |
| Provider Name | Christina Marleen Bein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659870145 PECOS PAC ID: 3173943784 Enrollment ID: I20201021000948 |
| Provider Name | Keith A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598958944 PECOS PAC ID: 2769893866 Enrollment ID: I20201120002072 |
| Provider Name | Kathleen Jeanette Nutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295803773 PECOS PAC ID: 1153733407 Enrollment ID: I20201210002160 |
| Provider Name | Traci Lynn Chenette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841204161 PECOS PAC ID: 3577975432 Enrollment ID: I20201217001010 |
| Provider Name | Ryan Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235329392 PECOS PAC ID: 4082027131 Enrollment ID: I20210108001133 |
| Provider Name | Jennifer A. Mauro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114023793 PECOS PAC ID: 7911301999 Enrollment ID: I20210812003378 |
| Provider Name | Jordan Gregory Karr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336593748 PECOS PAC ID: 6204224819 Enrollment ID: I20211102000423 |
| Provider Name | Marlene Joy Monette-showker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053600395 PECOS PAC ID: 4587037106 Enrollment ID: I20230302000307 |
| Provider Name | Leslie Richman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265704803 PECOS PAC ID: 5597116079 Enrollment ID: I20240109002945 |
| Provider Name | Jondra Ann Pennington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649205402 PECOS PAC ID: 4082066188 Enrollment ID: I20240112004300 |
| Provider Name | Elizabeth Pownall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902054844 PECOS PAC ID: 6507218229 Enrollment ID: I20240118002076 |
| Provider Name | Julia Leggett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033782305 PECOS PAC ID: 3274977632 Enrollment ID: I20240214001227 |
| Provider Name | Moniree May Varahramyan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750746699 PECOS PAC ID: 1052755048 Enrollment ID: I20240218000011 |
| Provider Name | Nirmani Tilakasena Saucedo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710529714 PECOS PAC ID: 1052756269 Enrollment ID: I20240228000103 |
| Provider Name | Christina Love Maeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770664955 PECOS PAC ID: 9436593852 Enrollment ID: I20240315002522 |
| Provider Name | Veronica Shiu Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417572033 PECOS PAC ID: 9739526930 Enrollment ID: I20240323000455 |
| Provider Name | Tanya S Kramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164758884 PECOS PAC ID: 1759721319 Enrollment ID: I20240430000667 |
| Provider Name | Michele Markstrom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447346218 PECOS PAC ID: 2961842067 Enrollment ID: I20240506001472 |
| Provider Name | Benjamin James Heifetz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740696525 PECOS PAC ID: 5890137012 Enrollment ID: I20240520002611 |
| Provider Name | Kelsey Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053939207 PECOS PAC ID: 5496297236 Enrollment ID: I20240607000709 |
| Provider Name | Abigail Glaser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194367045 PECOS PAC ID: 5092252940 Enrollment ID: I20240808004305 |
| Provider Name | April Lightcap |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346817764 PECOS PAC ID: 0941748677 Enrollment ID: I20240813002868 |
| Provider Name | Noah Belcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861250409 PECOS PAC ID: 7810435419 Enrollment ID: I20240814001566 |
| Provider Name | Lauren Roth Updike |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730607086 PECOS PAC ID: 6103357272 Enrollment ID: I20240930002919 |
| Provider Name | Jessica Kassebaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104312578 PECOS PAC ID: 0547791626 Enrollment ID: I20240930003019 |
| Provider Name | Claire Perusse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184075533 PECOS PAC ID: 4183155153 Enrollment ID: I20241001002456 |
| Provider Name | Cora Crabtree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205454279 PECOS PAC ID: 0547792343 Enrollment ID: I20241017003778 |
| Provider Name | Madelynn Ober |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629700570 PECOS PAC ID: 0446783617 Enrollment ID: I20241025002229 |
| Provider Name | Katie Doty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639817091 PECOS PAC ID: 2062948656 Enrollment ID: I20241205003117 |
| Provider Name | Paige Ramsey Kuiawa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710642640 PECOS PAC ID: 2769918317 Enrollment ID: I20241206000720 |
| Provider Name | Amanda Leigh Shores Bueffel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558037671 PECOS PAC ID: 2567990476 Enrollment ID: I20250106002367 |
| Provider Name | Justine Lockhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487226064 PECOS PAC ID: 8628507134 Enrollment ID: I20250129001635 |
| Provider Name | Louis Radie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376241406 PECOS PAC ID: 4789104860 Enrollment ID: I20250219002124 |
| Provider Name | Loveminda Laroco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013614429 PECOS PAC ID: 3173044161 Enrollment ID: I20250306001726 |
| Provider Name | Julia Rose Stroemel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033882170 PECOS PAC ID: 1951822956 Enrollment ID: I20250306002380 |
| Provider Name | Joshua Jarnagin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427629567 PECOS PAC ID: 6103347638 Enrollment ID: I20250312002875 |
| Provider Name | Emi Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780356105 PECOS PAC ID: 1355867896 Enrollment ID: I20250429000330 |
| Provider Name | Karson Paxton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548968670 PECOS PAC ID: 0749706067 Enrollment ID: I20250430000769 |
| Provider Name | Emily Deanne Walden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982271888 PECOS PAC ID: 8820514037 Enrollment ID: I20250430003501 |
| Provider Name | Colleen Nichole Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063058352 PECOS PAC ID: 6709303191 Enrollment ID: I20250508002939 |
| Provider Name | Kacie Lynn Maplethorpe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588289771 PECOS PAC ID: 6204271646 Enrollment ID: I20250512002934 |
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 |