Active NPI
Ami Jerome-Sletteland
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1275930778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19-QMHPC-00672
- Practice address
- 71 Centennial Loop Ste a
Eugene, OR 97401-2443 - Phone
- (541) 505-8426
- Fax
- (541) 515-6938
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19-QMHPC-00672 | OR | Primary |
Addresses
Primary practice location
71 Centennial Loop Ste a
Eugene, OR 97401-2443
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other practice location 1
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185
Other practice location 2
1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 686-7376
Other practice location 3
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-QMHPC-00672 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1275930778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 HEATHROW WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044004",
"telephone_number": "541-858-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 CENTENNIAL LOOP STE A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012443",
"telephone_number": "541-505-8426",
"fax_number": "541-515-6938"
}
],
"practiceLocations": [
{
"address_1": "3333 Riverbend Dr",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974778800",
"country_code": "US",
"telephone_number": "541-222-2185",
"fax_number": "541-222-2194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Hilyard St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013718",
"country_code": "US",
"telephone_number": "541-686-7376",
"fax_number": "541-434-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 Village Dr",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974249700",
"country_code": "US",
"telephone_number": "541-767-5200",
"fax_number": "541-767-5310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEROME-SLETTELAND",
"first_name": "AMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "19-QMHPC-00672",
"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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.