Individual provider Active NPI

Lakotaka Dawn Jason, CADC CANDIDATE

  • Addiction (Substance Use Disorder) Counselor
  • Eugene, OR
National Provider Identifier
1467933440
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
350 E 11TH Ave
Eugene, OR 97401-3246
Phone
(541) 683-1641
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 24-QMHA-R-5475 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X OR Primary

Addresses

Primary practice location

350 E 11TH Ave
Eugene, OR 97401-3246

Mailing address

341 E 12TH Ave
Eugene, OR 97401-3275
Phone (541) 683-1641

Other names 1

  • Lakotaka Fields Former name

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

LicenseStateTypeSpecialty
24-QMHA-R-5475ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Family, Inc Addiction (Substance Use Disorder) Past Accepting new patients
White Bird Clinic PastSince Jul 21, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wfts/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/whitebirdclinic/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1467933440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013275",
            "telephone_number": "541-683-1641",
            "fax_number": "541-681-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013246",
            "telephone_number": "541-683-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASON",
        "first_name": "LAKOTAKA",
        "middle_name": "DAWN",
        "credential": "CADC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "24-QMHA-R-5475",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKOTAKA",
            "last_name": "FIELDS",
            "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 16, 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.

Verify at the official NPI Registry.