Active NPI
Jeffrey Ned Christensen, MA, LPC
- Professional Counselor
- Eugene, OR
National Provider Identifier
1063506731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003638
- Practice address
- 2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824 - Phone
- (541) 682-3608
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003638 | VA | Primary |
Addresses
Primary practice location
2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824
Mailing address
413 Kingsbury Ave
Eugene, OR 97404-1072
Phone (541) 654-2513
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146171 | Other | VA | ANTHEM PRIVATE PRAC. |
| 004945263 | Medicaid | VA | |
| 010114128 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1755 Coburg Rd
Unit 301
Eugene, OR 97401-4900
1755 Coburg Rd Unit
Suite 301
Eugene, OR 97401-4900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003638 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lgbtq Telepsychiatry | Current | Accepting new patients |
Locations
1755 Coburg Rd
Unit 301
Eugene, OR 97401
Phone (458) 234-0082
1309 Coffeen Ave
Ste 1200
Sheridan, WY 82801
Phone (307) 459-2801
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1063506731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 KINGSBURY AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974041072",
"telephone_number": "541-654-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 MARTIN LUTHER KING JR BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015824",
"telephone_number": "541-682-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "JEFFREY",
"middle_name": "NED",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PRIVATE PRAC.",
"identifier": "146171",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945263",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010114128",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.