Cafa | |
921 Country Club Rd 222 Eugene OR 97401-2257 | |
(541) 686-6000 | |
(541) 344-8239 |
Full Name | Cafa |
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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 |
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Cafa 921 Country Club Rd 222 Eugene OR 97401-2257 Ph: (541) 686-6000 | Cafa 921 Country Club Rd 222 Eugene OR 97401-2257 Ph: (541) 686-6000 |
NPI Number | 1548474562 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 02/18/2020 |
Certification Date | 02/18/2020 |
Medicare PECOS PAC ID | 5092949446 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700953189 PECOS PAC ID: 4183985773 Enrollment ID: I20180314001767 |
Provider Name | Danene R Wanner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558538769 PECOS PAC ID: 9638431919 Enrollment ID: I20180326002824 |
Provider Name | Erin S Mcintyre |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609992221 PECOS PAC ID: 5597029769 Enrollment ID: I20180516001276 |
Provider Name | Karen Jo Stark-bredeweg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558643635 PECOS PAC ID: 9830454651 Enrollment ID: I20180529001625 |
Provider Name | Carol Rexius |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1134348592 PECOS PAC ID: 1759725880 Enrollment ID: I20240216002523 |
Provider Name | Kevin Kelley |
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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 |
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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 |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427673227 PECOS PAC ID: 8527409937 Enrollment ID: I20240516002083 |
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