Organization Active NPI

Jayson Peterson, Med, LMFT, LLC

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1346889227
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JAYSON PETERSON, MED, LMFT, LLC
Practice address
42 W 25TH Ave
Eugene, OR 97405-3137
Phone
(541) 513-5391
NPI assigned
Dec 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Jayson Peterson, LMFTNPI 1780969675
Title
Owner
Phone
(541) 513-5391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

42 W 25TH Ave
Eugene, OR 97405-3137

Mailing address

4640 Leona CT
Eugene, OR 97402-1224
Phone (541) 513-5391

National Provider Directory

National Provider Directory

Locations

42 W 25th Ave
Eugene, OR 97405
Phone (541) 513-5391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1346889227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 LEONA CT",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974021224",
            "telephone_number": "541-513-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W 25TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053137",
            "telephone_number": "541-513-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYSON PETERSON, MED, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-513-5391",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Dec 24, 2019; 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.