Individual provider Active NPI

Jinxi Caddel, LPC, CADC III

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1063990554
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1257 High St
Eugene, OR 97401-3207
Phone
(541) 329-9470
Fax
(458) 201-6923
NPI assigned
Aug 6, 2018
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1257 High St
Eugene, OR 97401-3207

Mailing address

3425 Potter St
Eugene, OR 97405-4268
Phone (541) 329-9470

Other practice location 1

1125 Alabama Ave SE
Bandon, OR 97411-9105
Phone (541) 329-9470

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319002040 OR Practitioner - Mental Health Counselor 3870958184 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1257 High St
Suite 1
Eugene, OR 97401-3279
Phone (541) 329-9470

3425 Potter St
Eugene, OR 97405-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Black Sheep Therapy LLC Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Locations

1125 Alabama Ave SE
Bandon, OR 97411
Phone (541) 329-9444

1257 High St
Ste 1
Eugene, OR 97401
Phone (541) 329-9470

200 E 11th Ave
Ste 260
Eugene, OR 97401
Phone (253) 796-8256

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1063990554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 POTTER ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054268",
            "telephone_number": "541-329-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013207",
            "telephone_number": "541-329-9470",
            "fax_number": "458-201-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Alabama Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119105",
            "country_code": "US",
            "telephone_number": "541-329-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADDEL",
        "first_name": "JINXI",
        "name_prefix": "Dr.",
        "credential": "LPC, CADC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.