Active NPI
Jean Daugherty Counseling
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1245595479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4685
- Legal business name
- JEAN DAUGHERTY COUNSELING
- Practice address
- 541 Willamette St
Suite 205
Eugene, OR 97401-2612 - Phone
- (541) 485-9898
- NPI assigned
- Jul 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Daugherty, LCSW
- Title
- Therapist/Owner
- Phone
- (541) 485-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4685 | OR | Primary |
Addresses
Primary practice location
541 Willamette St
Suite 205
Eugene, OR 97401-2612
Mailing address
541 Willamette St
Suite 205
Eugene, OR 97401-2612
Phone (541) 485-9898
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362873600000",
"number": "1245595479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 WILLAMETTE ST",
"address_2": "SUITE 205",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012612",
"telephone_number": "541-485-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 WILLAMETTE ST",
"address_2": "SUITE 205",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012612",
"telephone_number": "541-485-9898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEAN DAUGHERTY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-13",
"last_updated": "2013-03-10",
"status": "A",
"authorized_official_last_name": "DAUGHERTY",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "541-485-9898",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4685",
"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 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.