Active NPI
Benjamin Andresen
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1710873641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 25-QMHP-R-3707
- Practice address
- 770 E 11TH Ave
Eugene, OR 97401-3746 - Phone
- (458) 205-7085
- NPI assigned
- Jun 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 25-QMHP-R-3707 | OR | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
770 E 11TH Ave
Eugene, OR 97401-3746
Mailing address
770 E 11TH
Eugene, OR 97401-3746
Phone (458) 205-7085
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25-QMHP-R-3707 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753488000000",
"number": "1710873641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 E 11TH",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013746",
"telephone_number": "458-205-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 E 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013746",
"telephone_number": "458-205-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRESEN",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-16",
"last_updated": "2025-07-26",
"certification_date": "2025-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "25-QMHP-R-3707",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 26, 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.