Active NPIOrganization

Black Sheep Therapy LLC

Counselor, Mental Health in Eugene, Oregon

NPI Number1134834567
Practice location
1257 High St, Eugene, OR 97401-3282
Fax
—
Last updated
December 23, 2024

Black Sheep Therapy LLC is a healthcare organization based in Eugene, OR. The NPI number for Black Sheep Therapy LLC is 1134834567. The current practice location address is 1257 High St, Eugene, OR 97401-3282 and the office can be reached by phone at 541-329-9470. The NPI was assigned on January 19, 2023 and the record was last updated in NPPES on December 23, 2024.

●Provider Profile Details

NPI Number
1134834567
Provider Name
Black Sheep Therapy LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Jinxi Caddel, LPC · Owner · 541-329-9470
Enumeration Date
January 19, 2023
Last Update Date
December 23, 2024
Certification Date
December 23, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1257 High St
Eugene, OR 97401-3282
City
Eugene
State
Oregon
ZIP
97401-3282
Country
US
Phone Number
541-329-9470

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✉Business Mailing Address

Address
3425 Potter St
Eugene, OR 97405-4268
City
Eugene
State
OR
ZIP
97405-4268
Phone Number
541-329-9470

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)
193200000X - Multi-Specialty Group
101YA0400XNo——
Counselor, Mental Health
193200000X - Multi-Specialty Group
101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Black Sheep Therapy LLC?

The NPI number of Black Sheep Therapy LLC is 1134834567. It was assigned on January 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Black Sheep Therapy LLC?

Black Sheep Therapy LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Black Sheep Therapy LLC practice?

The practice location is 1257 High St, Eugene, OR 97401-3282. The office can be reached at 541-329-9470 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134834567 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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