Active NPI
Jennifer Tolman, PHD
- Clinical Psychologist
- Eugene, OR
National Provider Identifier
1497947790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1763
- Practice address
- 3225 Willamette St Ste 3a
Eugene, OR 97405-3309 - Phone
- (541) 844-4250
- Fax
- (541) 357-4700
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1763 | OR | Primary |
Addresses
Primary practice location
3225 Willamette St Ste 3a
Eugene, OR 97405-3309
Mailing address
5100 Imperial St
Attn: Jen Tolman
Eugene, OR 97405-3506
Phone (541) 844-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241536 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1763 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1497947790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 IMPERIAL ST",
"address_2": "ATTN: JEN TOLMAN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053506",
"telephone_number": "541-844-4250",
"fax_number": "541-357-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 WILLAMETTE ST STE 3A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053309",
"telephone_number": "541-844-4250",
"fax_number": "541-357-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLMAN",
"first_name": "JENNIFER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241536",
"state": "OR"
}
],
"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 Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.