AARON EARLYWINE – Counselor, NPI 1497378616

AARON EARLYWINE is a healthcare provider. based in Eugene, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C.2103771 (OH). The NPI Number for AARON EARLYWINE is 1497378616

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
AARON EARLYWINE
NPI
1497378616
Phone
(541) 686-6000
Address
921 COUNTRY CLUB RD STE 222
Enumeration Date
21 May 2020
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416866000558
Graduation Year
2020 (6 years ago)
PAC ID
7911485099
Group Practice PAC ID
5092949446
Professional Enrollment ID
I20260129003981
Address ID
OR974012238EU921XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for AARON EARLYWINE

  • 921 COUNTRY CLUB RD STE 222

    EUGENE, OR 974012238

    Phone: (541) 686-6000

    Type: Location

  • 2211 Arbor Blvd

    Moraine, OH 454391521

    Phone: (937) 222-9481

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260129003981IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092949446View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistOR
Mental Health CounselorOR
Mental Health CounselorOR
Clinical Social WorkerOR
Clinical Social WorkerOR
Mental Health CounselorOR

Reviews

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Frequently asked questions

Is AARON EARLYWINE listed with a National Provider Identifier?
Yes — AARON EARLYWINE has NPI 1497378616 on file in the registry.
Would AARON EARLYWINE appear as active to a payer?
You can treat AARON EARLYWINE as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with AARON EARLYWINE?
AARON EARLYWINE's record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with AARON EARLYWINE?
Directory geography for AARON EARLYWINE centers on Eugene, Oregon.
When was this NPI issued?
Enumeration for AARON EARLYWINE is noted as May 21, 2020 where the registry provides it.

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