Todd B. Jeter, LCSW, CADC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10427 Issued in OR

Practice address

2440 Willamette St Ste 201&202
Eugene, OR 97405-3170

Phone

(541) 234-3090

Fax

(541) 735-9480

NPI assigned

Dec 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fjord Counseling LLC

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1972216877
  Medicare reassignment NPD Authorized official
• Fjord Counseling LLC

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1013716471
  NPD
• Applegate Counseling LLC

  • Counselor
  • Eugene, OR
  • NPI 1023625191
  NPD (past)
• Arise Counseling Service, LLC. Dba Northlight Counseling

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1447715834
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1104361534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WILLAMETTE ST STE 201&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 201&202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053170",
            "telephone_number": "541-234-3090",
            "fax_number": "541-735-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "TODD",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "LCSW, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-20",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "16-11-18",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500731705",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500725923",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Renee Jernstrom
• Ami Jerome-Sletteland
• Tulaasi Jerome, LMT
• Jessica Crowder LLC
• Jessie Brown Therapy Inc
• Hillary Lind Jewell
• Mark L Jewell, M.D.
• Aidan Jewett
• Andrea Lynn Jewett, APRN-NP
• Brian Jewett, MD

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.