Individual provider Active NPI

Jessica Champion, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1639394141
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0650 Issued in OR
Practice address
240 Country Club Rd Ste B
Eugene, OR 97401-2479
Phone
(541) 343-7200
Fax
(844) 364-4271
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0650 OR Primary

Addresses

Primary practice location

240 Country Club Rd Ste B
Eugene, OR 97401-2479

Mailing address

1574 Coburg Rd
Eugene, OR 97401-4802
Phone (541) 343-7200

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T0650ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Family Therapy, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1574 Coburg Rd
Eugene, OR 97401

240 Country Club Rd
Ste B
Eugene, OR 97401
Phone (541) 343-7200

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1639394141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014802",
            "telephone_number": "541-343-7200",
            "fax_number": "844-364-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 COUNTRY CLUB RD STE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012479",
            "telephone_number": "541-343-7200",
            "fax_number": "844-364-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.