MS. LARA BISSONNETTE (MS) – Marriage & Family Therapist, NPI 1841820941

MS. LARA BISSONNETTE (MS) is a healthcare provider. based in Eugene, Oregon. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS. They hold a License No. R4522 (OR). The NPI Number for MS. LARA BISSONNETTE (MS) is 1841820941

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. LARA BISSONNETTE (MS)
NPI
1841820941
Phone
(541) 359-9851
Address
21 E 28TH AVE STE D
Enumeration Date
17 January 2020
Last Update Date
8 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413445978
Graduation Year
2000 (26 years ago)
PAC ID
0143670117
Group Practice PAC ID
5294117313
Professional Enrollment ID
I20240103002286
Address ID
OR974031934EU1997XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

179 MARRIAGE AND FAMILY THERAPIST in OR

Provider Addresses for MS. LARA BISSONNETTE (MS)

  • 21 E 28TH AVE STE D

    EUGENE, OR 974053699

    Phone: (541) 359-9851

    Type: Mailing

  • 2852 WILLAMETTE ST # 404

    EUGENE, OR 974058200

    Phone: (541) 359-9851

    Type: Mailing

  • 1551 OAK ST STE D

    EUGENE, OR 974014023

    Phone: (541) 521-9891

    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: 2024-01-03

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
I20240103002286IMarriage And Family TherapistORTBD

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 97405)

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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: 5294117313View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Mental Health CounselorOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

What number should I use to identify MS. LARA BISSONNETTE (MS) for billing?
Administrative and clinical systems typically use NPI 1841820941 for MS. LARA BISSONNETTE (MS).
Quick check: is MS. LARA BISSONNETTE (MS) active?
Public NPPES data shows MS. LARA BISSONNETTE (MS) with an active NPI status right now.
Which specialty label fits MS. LARA BISSONNETTE (MS)?
NPPES ties MS. LARA BISSONNETTE (MS) to Marriage & Family Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. LARA BISSONNETTE (MS)?
MS. LARA BISSONNETTE (MS) shows a connection to Eugene, Oregon in registry-derived data.
Who maintains MS. LARA BISSONNETTE (MS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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