Organization Active NPI

Jean Daugherty Counseling

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1245595479
Registry record updated Mar 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4685 Issued in OR
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

Updated by the provider on Mar 10, 2013

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.