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Active NPI 1356439970 Individual Practitioner Male Practitioner

Ivan Kent Sumner , LCSW

Counselor - Mental Health • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Ivan Sumner, LCSW is a registered healthcare professional specializing in Counselor - Mental Health in Eugene, OR. Practice services are available at 1524 WILLAMETTE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1524 Willamette St
Suite 101

Eugene, OR 974014093

Telephone 5415152009
Fax 5413425545

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
1649 Specialists

Practicing in Eugene, OR (15536 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OR 1487

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215129911

Licensed Massage Therapist

Dee Gribbin , MS

Psychologist

NPI 1619150372

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2010

Registered at 1524 WILLAMETTE ST, SUITE 101, EUGENE, OR 974014093 (Tel: 5415152009)

📍
Updated Business Mailing Address December 09, 2010

Registered at 1524 WILLAMETTE ST, SUITE 101, EUGENE, OR 974014093 (Tel: 5415152009)

👤
Provider Name / Credentials Updated December 09, 2010

Recorded as IVAN SUMNER, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2010

Counselor (License #1487 in OR)

🟢
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356439970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: December 09, 2010
Sole Proprietor: Yes

Mailing Address

1524 Willamette St, Suite 101

Eugene, OR 974014093

Phone: 5415152009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.