Individual provider Active NPI

Jessica Claire Vogel

  • Social Worker
  • Eugene, OR
National Provider Identifier
1134849862
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-44381 Issued in ID
Practice address
1170 Pearl St
Eugene, OR 97401-3541
Phone
(541) 743-4340
Fax
(541) 743-4369
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X LMSW-44381 ID Primary

Addresses

Primary practice location

1170 Pearl St
Eugene, OR 97401-3541

Mailing address

1170 Pearl St
Eugene, OR 97401-3541
Phone (541) 743-4340

Other practice location 1

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-44381IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Sun Counseling Current Accepting new patients
A Body & Mind Health Services, LLC Mental Health PastSince Nov 8, 2020 Accepting new patients
A Body & Mind Health Services, LLC Mental Health PastSince Aug 2, 2021 Accepting new patients
Oslc Community Programs PastSince Sep 4, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1134849862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013541",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013541",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 S Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837090932",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "JESSICA",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-44381",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.