Healthcare Provider Details

I. General information

NPI: 1134522048
Provider Name (Legal Business Name): ZANA ZEIGLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2014
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 ARDENDALE LANE
EUGENE OR
97405-1962
US

IV. Provider business mailing address

1616 ARDENDALE LANE
EUGENE OR
97405-1962
US

V. Phone/Fax

Practice location:
  • Phone: 541-974-5789
  • Fax: 541-255-0943
Mailing address:
  • Phone: 541-974-5789
  • Fax: 541-255-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC4535
License Number StateOR

VII. Legacy identifiers

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

# 1
Identifier500679703
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: