The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eugene and Oregon

527 active clinicians are listed under Counselor with a practice address in Eugene, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

0.6% of these 527 clinicians have the CMS telehealth indicator.

2.3% of these 527 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-11

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events

📍

Updated Practice Location January 11, 2024

Registered at 2727 MLK BLVD, EUGENE, OR 974015901 (Tel: 5416827948)

📍

Updated Business Mailing Address January 11, 2024

Registered at 2727 MLK BLVD, EUGENE, OR 974015901 (Tel: 5416827948)

✅

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2017

Registered at 1355 OAK ST STE 100, EUGENE, OR 974013566 (Tel: 5416831125)

📍

Updated Business Mailing Address August 24, 2017

Registered at 1355 OAK ST #100, EUGENE, OR 97401 (Tel: (541) 683-1125)

👤

Provider Name / Credentials Updated August 24, 2017

Recorded as CONNIE LONG

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Counselor

✅

NPI Profile Active March 26, 2014

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 26, 2014

Registered at 1666 W 12TH AVE, EUGENE, OR 974023716 (Tel: 5413022554)

📍

Business Mailing Address (Initial Record) March 26, 2014

Registered at 1790 W 11TH AVE, EUGENE, OR 974023758 (Tel: 5416862611)

👤

Provider Name / Credentials (Initial Record) March 26, 2014

Recorded as CONNIE LONG

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2014

Counselor

🟢

Initial NPI Registration & Enumeration March 26, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053738120

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 26, 2014

Last Update: January 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2727 Mlk Blvd

Eugene, OR 974015901

Phone: 5416827948

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.