Individual provider Active NPI

Jennifer Reesor

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1649932849
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R7029 Issued in OR
Practice address
1400 High St Ste B
Eugene, OR 97401-4192
Phone
(541) 600-2034
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 R7029 OR Primary

Addresses

Primary practice location

1400 High St Ste B
Eugene, OR 97401-4192

Mailing address

1400 High St Ste B2
Eugene, OR 97401-4192
Phone (541) 600-2034

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
R7029ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Sky Counseling CurrentSince Nov 9, 2021 Accepting new patients
Willamette Sky Counseling CurrentSince May 1, 2022 Accepting new patients

Locations

1400 High St
Ste B2
Eugene, OR 97401
Phone (541) 600-2034

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1649932849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HIGH ST STE B2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014192",
            "telephone_number": "541-600-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGH ST STE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014192",
            "telephone_number": "541-600-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESOR",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R7029",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2021; 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.