Jolena Bakanoff
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eugene, OR
NPI 1376465922 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1376465922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1040 Oak St
Eugene, OR 97401-3132 - Phone
- (541) 342-6987
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Counseling and Education Services Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1040 Oak St
Eugene, OR 97401-3132
Mailing address
78 Centennial Loop Ste a
Eugene, OR 97401-7900
Phone (541) 393-0777
Other providers in Eugene, OR
- Scott A Bailor
- Diane L Baird
- Patricia Helen Baird
- Sofia Bajenaru
- Yashaswi Bajracharya
- Brooke Baker
- Carrie Baker
- Danielle Lindsey Baker
- Elsa Nicole Baker
- Joyce L. Baker
All providers in Eugene, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.