Individual provider Active NPI

Jeremy Daniel Jalabert, MSW, LCSW, MAC,CADC

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1275604969
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#L4338 Issued in OR
Practice address
1590 E 13TH Ave
Eugene, OR 97403-1967
Phone
(541) 346-3227
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X #L4338 OR Primary

Addresses

Primary practice location

1590 E 13TH Ave
Eugene, OR 97403-1967

Mailing address

1590 E 13TH Ave
Eugene, OR 97403-1967
Phone (541) 346-3227

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
#L4338ORMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jeremy.jalabert.p2@direct.lanecounty.nextgenshare.com
  • Direct secure messaging: jeremy.jalabert.p1@direct.lanecounty.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1275604969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031967",
            "telephone_number": "541-346-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031967",
            "telephone_number": "541-346-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALABERT",
        "first_name": "JEREMY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, MAC,CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "#L4338",
            "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 Sep 28, 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.