Active NPI
Jordan Leonard Schaefer-Limbach, BA, QMHA
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1396019105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10 Shelton McMurphey Blvd
Eugene, OR 97401-4928 - Phone
- (541) 485-2711
- Fax
- (815) 572-5513
- NPI assigned
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10 Shelton McMurphey Blvd
Eugene, OR 97401-4928
Mailing address
10 Shelton McMurphey Blvd
Eugene, OR 97401-4928
Phone (541) 485-2711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500724783 | Medicaid | OR | |
| 500663312 | Medicaid | OR |
Other names 1
- Mr. Jordan Leonard Limbach
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oslc Developments, Inc. - Clinic | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eugene, OR
- NPI 1326433012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1396019105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SHELTON MCMURPHEY BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014928",
"telephone_number": "541-485-2711",
"fax_number": "815-572-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHELTON MCMURPHEY BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014928",
"telephone_number": "541-485-2711",
"fax_number": "815-572-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER-LIMBACH",
"first_name": "JORDAN",
"middle_name": "LEONARD",
"name_prefix": "Mr.",
"credential": "BA, QMHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-27",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500724783",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500663312",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "LIMBACH",
"middle_name": "LEONARD",
"prefix": "MR.",
"credential": "BA, QMHA",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.