Zem Xander Chance, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1612 Issued in OR

Practice address

291 W 12TH Ave
Eugene, OR 97401-3409

Phone

(541) 525-9898

NPI assigned

Sep 20, 2016

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

Other names 1

• Emily Jane Klosiewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1689122566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 W 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013409",
            "telephone_number": "541-525-9898",
            "fax_number": "541-525-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 W 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013409",
            "telephone_number": "541-525-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "ZEM",
        "middle_name": "XANDER",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KLOSIEWSKI",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Champion Family Therapy, LLC
• Jessica Champion, LMFT
• Dakota Chan, PT, DPT
• William David Chance Young, LCSW
• Stacy Ryan Chance, MD
• Nichole Chaney
• Philip Chapa, PA-C
• Jill Chaplin, MD
• Brenna Chapman
• Brittany Chapman

• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.