Jeremy Carlson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

114579 Issued in OR

Practice address

680 Tyler St
Eugene, OR 97402-4530

Phone

(541) 603-0276

NPI assigned

Aug 11, 2025

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reveille Foundation

  • Case Manager/Care Coordinator
  • Eugene, OR
  • NPI 1134883887
  NPD

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1518842178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97386",
            "address_2": "4715 LONG ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "97386",
            "telephone_number": "458-253-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 TYLER ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024530",
            "telephone_number": "541-603-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "114579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rita Carlone, DPT
• Amy Carlsen
• Asa Raymon Carlson, MA
• Colby Carlson, DPM
• Dominique Rachel Carlson
• Lisa Carlson, M. ED.
• Paul Stephen Carlson, LMT
• Abbey Carlstrom
• David A Carlstrom, D.C.
• Douglas Paul Carlstrom, D.C.

• Peer Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.