Individual provider Active NPI

Jessica Williams, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1174878060
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1410 Issued in OR
Practice address
1976 Garden Ave
Eugene, OR 97403-1933
Phone
(541) 255-1411
Fax
(541) 255-1412
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1410 OR Primary

Addresses

Primary practice location

1976 Garden Ave
Eugene, OR 97403-1933

Mailing address

1976 Garden Ave
Eugene, OR 97403-1933
Phone (541) 255-1411

Other practice location 1

1245 Birch Ave
Cottage Grove, OR 97424-1413
Phone (541) 767-4088

Other practice location 2

1599 Oak St
Eugene, OR 97401-4008
Phone (541) 255-1411

Other identifiers 1

IdentifierTypeStateIssuer
500662217MedicaidOR

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
I20250625003081 OR Practitioner - Marriage and Family Therapist 8527570415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridges Community Health IncGroup PAC ID 0547502783, 14 clinicians

Practice addresses (Care Compare)

1976 Garden Ave
Eugene, OR 97403-1933
Phone 54125514111010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Health Inc. CurrentSince Apr 13, 2025 Accepting new patients
South Lane Mental Health Services, Inc PastSince May 30, 2019 Accepting new patients

Locations

1450 Birch Ave
Cottage Grove, OR 97424
Phone (541) 255-1411

1599 Oak St
Eugene, OR 97401
Phone (541) 255-1411

1430 Willamette St
#140
Eugene, OR 97401

1976 Garden Ave
Eugene, OR 97403
Phone (541) 255-1411

1711 Willamette St
Ste 301
Eugene, OR 97401
Phone (208) 596-6910

Organizations & group practices 2

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1174878060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Birch Ave",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974241413",
            "country_code": "US",
            "telephone_number": "541-767-4088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1599 Oak St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014008",
            "country_code": "US",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500662217",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.