Individual provider Active NPI

Jennifer Alyce Moorhead, LPC

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1083923684
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4464 Issued in OR
Practice address
2650 Suzanne Way Ste 120
Eugene, OR 97408-7619
Phone
(541) 345-2800
NPI assigned
Sep 29, 2010
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 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 C4464 OR Primary

Addresses

Primary practice location

2650 Suzanne Way Ste 120
Eugene, OR 97408-7619

Mailing address

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone (541) 345-2580

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
I20240514001292 OR Practitioner - Mental Health Counselor 2264873835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Community Health SolutionsGroup PAC ID 5496667578, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

2650 Suzanne Way
Suite 200
Eugene, OR 97408-7619
Phone (541) 228-3019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C4464ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions Multi-Specialty CurrentSince Mar 17, 2024 Accepting new patients
Willamette Community Health Solutions Multi-Specialty CurrentSince Mar 17, 2024 Accepting new patients
Associated Clinical & Counseling Psychologists Past Accepting new patients
Willamette Community Health Solutions Mental Health Past Accepting new patients

Locations

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

Organizations & group practices 4

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1083923684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-345-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 120",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-345-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "JENNIFER",
        "middle_name": "ALYCE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.