Individual provider Active NPI

Aja Meadows

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1699382168
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R6486 Issued in OR
Practice address
1170 Pearl St
Eugene, OR 97401-3541
Phone
(541) 743-4340
Fax
(541) 743-4369
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 R6486 OR Primary

Addresses

Primary practice location

1170 Pearl St
Eugene, OR 97401-3541

Mailing address

1170 Pearl St
Eugene, OR 97401-3541
Phone (541) 743-4340

Other practice location 1

1902 Jefferson St Ste 1
Eugene, OR 97405-2485
Phone (541) 636-3079

Other practice location 2

3783 Westleigh St
Eugene, OR 97405-1137
Phone (928) 533-9264

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
R6486ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oslc Community Programs PastSince Dec 16, 2020 Accepting new patients
Alive Integrative Medicine, LLC Past Accepting new patients

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1699382168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013541",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013541",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Jefferson St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974052485",
            "country_code": "US",
            "telephone_number": "541-636-3079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3783 Westleigh St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974051137",
            "country_code": "US",
            "telephone_number": "928-533-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "AJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-12-14",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R6486",
            "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 Dec 14, 2020; 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.