Healthcare Provider Details

I. General information

NPI: 1154204055
Provider Name (Legal Business Name): INSIGHT THERAPY & CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 E 8TH AVE
EUGENE OR
97401-2709
US

IV. Provider business mailing address

313 E 8TH AVE
EUGENE OR
97401-2709
US

V. Phone/Fax

Practice location:
  • Phone: 608-217-8530
  • Fax:
Mailing address:
  • Phone: 608-217-8530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DR. MARIKO MEDALLADA LIN
Title or Position: PARTNER
Credential: PH.D.
Phone: 608-217-8530