Healthcare Provider Details

I. General information

NPI: 1821877606
Provider Name (Legal Business Name): ONE STEP AT A TIME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 GARFIELD ST
EUGENE OR
97402-3513
US

IV. Provider business mailing address

1170 GARFIELD ST
EUGENE OR
97402-3513
US

V. Phone/Fax

Practice location:
  • Phone: 541-972-2802
  • Fax:
Mailing address:
  • Phone: 541-972-2802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier50070861
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: DR. SHAUNTA HEMINGWAY
Title or Position: OWNER, CEO
Credential: PH.D.
Phone: 541-972-2802