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Mallory Davis

Counselor β€’ Eugene, OR

Active NPI 1992524516 Individual Practitioner Female Practitioner
Practice location in NPPES

2440 Willamette St Ste 201&202
Eugene, OR 974053170

Call 5412343090 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2440 Willamette St Ste 201&202

Eugene, OR 974053170

Telephone 5412343090
Organization at the Same NPPES Address or Phone
Fjord Counseling Llc Facility NPI 1013716471

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

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: NPI first issued

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, β€œDoes 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-02
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR A16651

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

9 Historical Events
πŸ“
Updated Practice Location July 02, 2025

Registered at 2440 WILLAMETTE ST STE 201&202, EUGENE, OR 974053170 (Tel: 5412343090)

πŸ“
Updated Business Mailing Address July 02, 2025

Registered at 2440 WILLAMETTE ST STE 201&202, EUGENE, OR 974053170 (Tel: 5412343090)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2025

Counselor (license number reported to NPPES: OR A16651)

βœ…
NPI Profile Active October 09, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 09, 2024

Registered at 3333 RIVERBEND DR, SPRINGFIELD, OR 974778800 (Tel: 5412227300)

πŸ“
Business Mailing Address (Initial Record) October 09, 2024

Registered at 3333 RIVERBEND DR, SPRINGFIELD, OR 974778800 (Tel: 5412227300)

πŸ‘€
Provider Name / Credentials (Initial Record) October 09, 2024

Recorded as MALLORY DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 09, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992524516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2024
Last Update: July 02, 2025
Sole Proprietor: Yes

Mailing Address

2440 Willamette St Ste 201&202

Eugene, OR 974053170

Phone: 5412343090

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.