Individual provider Active NPI

Jesse H Breeden

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1124793583
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C10626 Issued in OR
Practice address
66 Club Rd Ste 300
Eugene, OR 97401-2463
Phone
(541) 393-5983
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C10626 OR Primary

Addresses

Primary practice location

66 Club Rd Ste 300
Eugene, OR 97401-2463

Mailing address

66 Club Rd Ste 300
Eugene, OR 97401-2463
Phone (541) 521-7888

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
I20260223001300 OR Practitioner - Mental Health Counselor 8426539065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C10626ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Professional CurrentSince Jan 11, 2026 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Jan 11, 2026 Accepting new patients
NW Anxiety Institute, LLC PastSince Mar 12, 2023 Accepting new patients

Locations

44 Club Rd
Ste 200
Eugene, OR 97401
Phone (254) 393-5983

66 Club Rd
Ste 120
Eugene, OR 97401
Phone (541) 345-2800

66 Club Rd
Ste 300
Eugene, OR 97401

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLC 331 clinicians

Practice addresses (Care Compare)

66 Club Rd
Suite 120
Eugene, OR 97401-2439
Phone (541) 393-5983

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1124793583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CLUB RD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012463",
            "telephone_number": "541-521-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLUB RD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012463",
            "telephone_number": "541-393-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "JESSE",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.