JEFFREY N HENDERSON (NPI# 1164994638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164994638 |
| Entity Type | Individual |
| Full Name | JEFFREY N HENDERSON |
| Credential | P.S.S. |
| Practice Address |
149 W 12th Ave Eugene OR 97401-3408 |
| Mailing Address |
687 Cheshire Ave Eugene OR 97402-5060 |
| Practice Telephone | 5417624400 |
| Practice Fax Number | 5416844156 |
| Mailing Telephone | 5416844100 |
| Mailing Fax Number | 5416844156 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
| 1194860171 | Jeffrey Henderson | Physical Therapist | 107 Pinkerton Dr, Beaver, PA 15009-1213 | 2007-02-20 |
| 1598856049 | Jeffrey A. Henderson | Internal Medicine | 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2006-09-28 |
| 1528026978 | Jeffrey Lynn Henderson | Emergency Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2006-05-03 |
| 1912988007 | Jeffrey Mark Henderson | Pediatrics | 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 | 2005-11-07 |
| 1578111258 | Jeffrey Lee Henderson Jr. | Pharmacist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-08-27 |
| 1326315185 | Jeffrey Coleman Henderson | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2011-11-22 |
| 1235386848 | Jeffrey Harris Henderson | Family Medicine | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-08-26 |
| 1821173899 | Jeffrey Scott Henderson | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2006-10-26 |
| 1649354572 | Jeffrey W Henderson | Internal Medicine | 200 Center Street, Ludlow, MA 01056 | 2006-10-25 |
| Street Address |
149 W 12TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023253283 | Kimberly Ann Schafer | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2008-12-02 |
| 1700438447 | Robert De Lisle | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2019-07-12 |
| 1528521853 | Kim Longo | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2019-04-12 |
| 1215410204 | Chandler Jordan | Peer Specialist | 149 W 12th Ave, Eugene, OR 97401-3408 | 2018-09-14 |
| 1902301443 | Kimberly Anne Summerhays-morgan | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2018-03-27 |
| 1114432002 | Stephen Douglas Mcknight | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2017-12-13 |
| 1316461833 | Sherrie Lynn Lamarche | Peer Specialist | 149 W 12th Ave, Eugene, OR 97401-3408 | 2017-07-26 |
| 1508396987 | Katrina Salinas | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2017-06-18 |
| 1376075036 | Garvar Brummett | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2017-03-31 |
| 1669913414 | Tonya Pierson | Counselor | 149 W 12th Ave, Eugene, OR 97401-3408 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1053879361 | Carol Jeanne Hansen | Peer Specialist | 72a Centennial Loop Ste 150, Eugene, OR 97401-2447 | 2019-03-05 |
| 1558844324 | Roman Bezvikonnyi | Peer Specialist | 3086 Memory Ln, Eugene, OR 97404-1838 | 2018-09-07 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1497296222 | Maria Regina Sison-valenti | Peer Specialist | 72a Centennial Loop, Suite 150, Eugene, OR 97401-2444 | 2017-03-13 |
| 1700335858 | Christina Gail Kazlas | Peer Specialist | 111 N Garfield St, Eugene, OR 97402-2619 | 2016-09-30 |
| 1316396187 | Matthew Allen Harlan | Peer Specialist | 4300 Goodpasture Loop, Apt.# 11, Eugene, OR 97401-1458 | 2016-06-12 |
| 1265888127 | Chenoa Bostick | Peer Specialist | 2525 Portland St, Eugene, OR 97405-3153 | 2016-05-10 |
| 1770980906 | Paul Revis | Peer Specialist | 2525 Portland St Apt 19, Eugene, OR 97405-3107 | 2014-12-03 |
| 1568607935 | Randy Jay Gudeika | Peer Specialist | 2145 Centennial Plaza, Laurel Hill Center, Eugene, OR 97401-2421 | 2008-12-12 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.