MEDICARE: ARISE COUNSELING SERVICE, LLC. DBA NORTHLIGHT COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447715834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE COUNSELING SERVICE, LLC. DBA NORTHLIGHT COUNSELING

Provider Business Mailing Address
First Line	:	1075 WASHINGTON ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-4606
Country	:	US
Telephone Number	:	541-321-2278
Fax Number	:	541-246-8826

Provider Business Practice Location Address
First Line	:	1075 WASHINGTON ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-4606
Country	:	US
Telephone Number	:	541-321-2278
Fax Number	:	541-246-8826

Authorized Official
Title or Position	:	OWNER
Name	:	MS. HENRIETTA WILHELMINA KNOX
Credential	:
Telephone Number	:	541-321-2278

Provider Enumeration Date	:	02/10/2019
Last Update Date	:	12/30/2025

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