Active NPI
Jonathan Daniel Tepperman
- Counselor
- Eugene, OR
National Provider Identifier
1780144014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 132 E Broadway Ste 415
Eugene, OR 97401-3155 - Phone
- (541) 525-9031
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
132 E Broadway Ste 415
Eugene, OR 97401-3155
Mailing address
1790 W 28TH Ave
Eugene, OR 97405-1732
Phone (541) 525-9031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598123960 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1780144014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 W 28TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974051732",
"telephone_number": "541-525-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E BROADWAY STE 415",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013155",
"telephone_number": "541-525-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPPERMAN",
"first_name": "JONATHAN",
"middle_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598123960",
"state": "OR"
}
],
"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 Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.