Individual provider Active NPI

Jennifer Beck, LMFT, LPC

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1386116176
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1692 Issued in OR
Practice address
400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452
Phone
(541) 224-7712
NPI assigned
Dec 18, 2018
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C5111 OR
Marriage & Family Therapist 106H00000X T1692 OR Primary

Addresses

Primary practice location

400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452

Mailing address

400 E 2ND Ave Ste 104E
Eugene, OR 97401-2452
Phone (541) 224-7712

Other practice location 1

401 E 10th Ave Ste 330
Eugene, OR 97401-3357
Phone (541) 868-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2026 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C5111ORMDProfessional Counselor
T1692ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jen Beck LMFT LLC Marriage & Family Therapist CurrentSince Dec 13, 2020 Accepting new patients

Locations

400 E 2nd Ave
Ste 104E
Eugene, OR 97401
Phone (541) 224-7712

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1386116176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND AVE STE 104E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012452",
            "telephone_number": "541-224-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND AVE STE 104E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012452",
            "telephone_number": "541-224-7712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E 10th Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013357",
            "country_code": "US",
            "telephone_number": "541-868-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "JENNIFER",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5111",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.