Organization Active NPI

Teena Jones,Licsw, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eugene, OR
National Provider Identifier
1235649807
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TEENA JONES,LICSW, PLLC
Practice address
4055 Royal Ave SPC 27
Eugene, OR 97402-6820
Phone
(360) 232-3906
Fax
(888) 211-2226
NPI assigned
Oct 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Christine Jones, LICSW
Title
Owner/Manager
Phone
(360) 232-3906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4055 Royal Ave SPC 27
Eugene, OR 97402-6820

Mailing address

4736 Royal Ave
PMB 109169
Eugene, OR 97402
Phone (360) 232-3906

National Provider Directory

National Provider Directory

Locations

4736 Royal Ave
Eugene, OR 97402
Phone (541) 600-4145

880 11th Ave
Ste 109
Longview, WA 98632
Phone (360) 232-3906

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1235649807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 ROYAL AVE",
            "address_2": "PMB 109169",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97402",
            "telephone_number": "360-232-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 ROYAL AVE SPC 27",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974026820",
            "telephone_number": "360-232-3906",
            "fax_number": "888-211-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENA JONES,LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-232-3906",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "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 Feb 14, 2024; 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.