| 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 | Ryan P Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710011184 PECOS PAC ID: 1557257359 Enrollment ID: I20040227000206 |
| 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 |
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