Individual provider Active NPI

Brian Matthew Jones, B.S

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1184822132
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
499 W 4TH Ave
Eugene, OR 97401-2505
Phone
(541) 686-1262
NPI assigned
Jul 10, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 OR
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

499 W 4TH Ave
Eugene, OR 97401-2505

Mailing address

1538 Balboa St
Eugene, OR 97401-2505
Phone (541) 686-1262

Other practice location 1

3127 Kinsrow Ave Apt 76
Eugene, OR 97401-8077
Phone (541) 343-0822

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184822132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 BALBOA ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012505",
            "telephone_number": "541-686-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 W 4TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012505",
            "telephone_number": "541-686-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3127 Kinsrow Ave Apt 76",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018077",
            "country_code": "US",
            "telephone_number": "541-343-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Mar 17, 2018; 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.