Breeana C Jarvis, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10853 Issued in OR

Practice address

1997 Garden Ave
Eugene, OR 97403-1934

Phone

(541) 344-5978

Fax

(541) 344-1830

NPI assigned

Feb 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applegate Counseling LLCGroup PAC ID 5294117313, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23944/brand/1/csg/1/fhir/r4

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.

• Applegate Counseling LLC

  • Counselor
  • Eugene, OR
  • NPI 1023625191
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1255722997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031934",
            "telephone_number": "541-344-5978",
            "fax_number": "541-344-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031934",
            "telephone_number": "541-344-5978",
            "fax_number": "541-344-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "BREEANA",
        "middle_name": "C",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Yael Shattan Jansen, BA, QMHA
• Rebecca Joanne West Jaquette
• Jaros & Gubrud Dental LLC
• Ty Jaros, DDS
• Barry S Jarvis, M.D
• Hannah Jarvis, MS, RD, LD
• Lakotaka Dawn Jason, CADC CANDIDATE
• Jay Y Park MD, PC
• Jeannie Gar Yun Jay, LMFT
• Jayson Peterson, Med, LMFT, LLC

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.