NPIMap

Organization Active NPI

Fjord Counseling LLC

Doing business as Fjord PRIDE

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1013716471
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FJORD COUNSELING LLC
Doing business as
Fjord PRIDE
Practice address
2440 Willamette St Ste 202
Eugene, OR 97405-3170
Phone
(541) 234-3090
Fax
(541) 735-9480
NPI assigned
Mar 10, 2025
Organization subpart
Yes
Parent organization
FJORD COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Jeter
Title
Business Manager
Phone
(541) 234-3293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2440 Willamette St Ste 202
Eugene, OR 97405-3170

Mailing address

2440 Willamette St Ste 202
Eugene, OR 97405-3170
Phone (541) 234-3090

Other names 1

  • Fjord PRIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fjord Counseling LLC2 organizations share this tax ID, including this one
Part of
Fjord Counseling LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1013716471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WILLAMETTE ST STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053170",
            "telephone_number": "541-234-3090",
            "fax_number": "541-735-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WILLAMETTE ST STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053170",
            "telephone_number": "541-234-3090",
            "fax_number": "541-735-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJORD COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FJORD COUNSELING LLC",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-234-3293"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fjord PRIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.